Derik K Kenworthy, DO - Medicare Diagnostic Radiology in Edina, MN

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Derik K Kenworthy, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Edina, Minnesota. He went to At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa and graduated in 2019 and has 7 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Inspire Radiology Group Llc, Inspire Radiology Group 2 Llc, Inspire Radiology Group Llc, Inspire Radiology Group 2 Llc, Inspire Radiology Group Llc, Gonzales Healthcare Systems, Inspire Radiology Group 2 Llc, Delta County Memorial Hospital, Bay Area Hospital District, Minneola District Hospital Nbr 2, Dawson County Hospital District, Castro County Hospital District, Ruby Valley Hospital, Kane County Human Resource Special Service District, Baker Community Health Center Inc, Lower Umpqua Hospital District, Medlink Management Services Inc and his current practice location is 3600 Minnesota Dr Ste 800, Edina, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 595-1100.

Derik K Kenworthy is licensed to practice in Oregon (license number DO220167) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1861726077.

Contact Information

Derik K Kenworthy, DO
3600 Minnesota Dr Ste 800,
Edina, MN 55435-7915
(952) 595-1100
(612) 294-4903

Map and Direction




Physician's Profile

Full NameDerik K Kenworthy
GenderMale
SpecialityDiagnostic Radiology
Experience7 Years
Location3600 Minnesota Dr Ste 800, Edina, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Derik K Kenworthy attended and graduated from At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa in 2019
  NPI Data:
  • NPI Number: 1861726077
  • Provider Enumeration Date: 09/22/2009
  • Last Update Date: 06/23/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5193852077
  • Enrollment ID: I20241104001444

Medical Identifiers

Medical identifiers for Derik K Kenworthy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861726077NPI-NPPES
503865MedicaidAZ
9000254965MedicaidCO
Z173125OtherMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 05-50096 (Kansas)Secondary
2085R0202XRadiology - Diagnostic Radiology OS21657 (Florida)Secondary
2085R0202XRadiology - Diagnostic Radiology MED-PHYS-LIC-148473 (Montana)Secondary
2085R0202XRadiology - Diagnostic Radiology V3891 (Texas)Secondary
2085R0202XRadiology - Diagnostic Radiology 8833 (Oklahoma)Secondary
2085R0202XRadiology - Diagnostic Radiology DR.0074105 (Colorado)Secondary
2085R0202XRadiology - Diagnostic Radiology 14225604-1204 (Utah)Secondary
2085R0202XRadiology - Diagnostic Radiology DO220167 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bay Area HospitalCoos bay, ORHospital
Memorial HospitalGonzales, TXHospital
Ed Fraser Memorial HospitalMacclenny, FLHospital
Yoakum Community HospitalYoakum, TXHospital
Kane County HospitalKanab, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Inspire Radiology Group Llc236597521615
Inspire Radiology Group 2 Llc135587046022
Inspire Radiology Group Llc236597521615
Inspire Radiology Group 2 Llc135587046022
Inspire Radiology Group Llc236597521615
Gonzales Healthcare Systems852796377638
Inspire Radiology Group 2 Llc135587046022
Delta County Memorial Hospital1850200601104
Bay Area Hospital District2163331000130
Minneola District Hospital Nbr 2135525254531
Dawson County Hospital District680083215524
Castro County Hospital District387040406430
Ruby Valley Hospital640676401819
Kane County Human Resource Special Service District509260331637
Baker Community Health Center Inc377968980727
Lower Umpqua Hospital District680070356245
Medlink Management Services Inc246636079724

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Derik K Kenworthy allows following entities to bill medicare on his behalf.
Entity NameMeade Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851584460
PECOS PAC ID: 4284609462
Enrollment ID: O20040831001045
Entity NameMinneola District Hospital Nbr 2
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376625749
PECOS PAC ID: 1355252545
Enrollment ID: O20050302000745
Entity NameMinneola District Hospital Nbr 2
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1013009828
PECOS PAC ID: 1355252545
Enrollment ID: O20070223000124
Entity NameInspire Radiology Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487485181
PECOS PAC ID: 2365975216
Enrollment ID: O20241101001546

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Derik K Kenworthy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Derik K Kenworthy, DO
3600 Minnesota Dr Ste 800,
Edina, MN 55435-7915

Ph: (952) 595-1100		Derik K Kenworthy, DO
3600 Minnesota Dr Ste 800,
Edina, MN 55435-7915

Ph: (952) 595-1100

Reviews and Comments


Radiology Doctors in Edina, MN

Christopher Calixte, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435
Phone: 952-595-1100    Fax: 612-294-4903
Paul D Guisler, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435
Phone: 952-595-1301    Fax: 612-294-4903
Krishna Vaidyanathan Iyer, M.D.
Radiology
Medicare: May Accept Medicare Assignments
Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435
Phone: 952-595-1100    
Rati Narendra Patel, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435
Phone: 952-595-1301    Fax: 612-294-4903
Susanne S. Kim, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435
Phone: 952-595-1301    Fax: 612-294-4903
Gwendolyn Durgin, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435
Phone: 952-595-1301    Fax: 612-294-4903
Robert L Edwards, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435
Phone: 952-595-1100    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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