Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristin Marit Disori, MD

Individual provider Pediatrics Physician · NPI 1871869966

Kristin Marit Disori, MD is a Pediatric Medicine in Minneapolis, Minnesota. Qualified in 2012, 14 years ago. Practices with Fairview Health Services, a 678-clinician group and accepts Medicare assignment. Licensed in Minnesota, Pennsylvania, Texas and Wisconsin.

Years since qualifying
14
Licensed in
MN, PA, TX, WI
In the registry since
2012
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone: (612) 625-6678
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 71403 (MN)
Pediatrics Physician Taxonomy 208000000X · Licence Q2538 (TX)
Pediatrics Physician Taxonomy 208000000X · Licence MD457572 (PA)
Pediatrics Physician Taxonomy 208000000X · Licence 80086 (WI)

Record details

NPI number1871869966
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2012
Last updated in NPPESJune 29, 2025
Certification dateJune 29, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Fairview Health Services — 678 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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