Modern Ketamine Clinic
NPI 1386366532 · Infusion Therapy Clinic/Center · Maple Grove, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Modern Ketamine Clinic is a Infusion Therapy Clinic/Center organization in Maple Grove, MN (NPI 1386366532).
Provider details
- NPI number
- 1386366532
- Entity type
- Organization
- Primary specialty
- Infusion Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Daniel Falvey, MD(763) 347-2100
Specialties & taxonomies
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Registry dates
- Enumerated
- 2022-09-14
- Last updated
- 2025-05-28
- Certified
- 2025-05-28
Frequently asked questions
- What is Modern Ketamine Clinic's NPI number?
- Modern Ketamine Clinic's National Provider Identifier (NPI) is 1386366532, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Modern Ketamine Clinic?
- Modern Ketamine Clinic is classified in the NPPES registry as Infusion Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Modern Ketamine Clinic located?
- Modern Ketamine Clinic's practice location on file with NPPES is 13792 Reimer Dr N, Maple Grove, MN 55311-2219.
- What is Modern Ketamine Clinic's phone number?
- The practice phone number listed in the NPPES registry for Modern Ketamine Clinic is (763) 347-2100.
- Does Modern Ketamine Clinic accept Medicare?
- Modern Ketamine Clinic is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Modern Ketamine Clinic?
- The authorized official listed on Modern Ketamine Clinic's NPPES record is Daniel Falvey, MD. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Modern Ketamine Clinic's NPI active?
- Yes — Modern Ketamine Clinic's NPI (1386366532) is active in the NPPES registry as of the last update on 2025-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.