Kenneth Weimer, MD
NPI 1174624761 · Pediatrics Physician · Mankato, MN
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Weimer, MD is a Pediatrics Physician provider in Mankato, MN (NPI 1174624761).
Provider details
- NPI number
- 1174624761
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 52805 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
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
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 2510 W Dunlap AveSte 290Phoenix, AZ 85021-2737Phone: (602) 789-0344Fax: (602) 789-8389
Registry dates
- Enumerated
- 2006-09-26
- Last updated
- 2020-09-18
- Certified
- 2020-09-18
Frequently asked questions
- What is Kenneth Weimer's NPI number?
- Kenneth Weimer's National Provider Identifier (NPI) is 1174624761, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Weimer's specialty?
- Kenneth Weimer is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Kenneth Weimer located?
- Kenneth Weimer's practice location on file with NPPES is 1025 Marsh St, Mankato, MN 56001-4752.
- What is Kenneth Weimer's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Weimer is (507) 625-4031.
- Does Kenneth Weimer accept Medicare?
- Kenneth Weimer is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Weimer's NPI active?
- Yes — Kenneth Weimer's NPI (1174624761) is active in the NPPES registry as of the last update on 2020-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.