IndividualActive
Kenneth Sussman
NPI 1134226236 · Pediatrics Physician · Virginia, MN
Kenneth Sussman is a Pediatrics Physician provider in Virginia, MN (NPI 1134226236).
Provider details
- NPI number
- 1134226236
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 22447 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1101 9th St N
Virginia, MN 55792-2329
Phone: (218) 741-0150
Street-level locationGet directions
Mailing address
400 E 3rd St
Duluth, MN 55805-1951
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2007-07-08
Frequently asked questions
- What is Kenneth Sussman's NPI number?
- Kenneth Sussman's National Provider Identifier (NPI) is 1134226236, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Sussman's specialty?
- Kenneth Sussman is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Kenneth Sussman located?
- Kenneth Sussman's practice location on file with NPPES is 1101 9th St N, Virginia, MN 55792-2329.
- What is Kenneth Sussman's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Sussman is (218) 741-0150.
- Is Kenneth Sussman's NPI active?
- Yes — Kenneth Sussman's NPI (1134226236) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.