New Kingdom Pediatrics LLC
NPI 1760816045 · Clinic/Center · Eden Prairie, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
New Kingdom Pediatrics LLC is a Clinic/Center organization in Eden Prairie, MN (NPI 1760816045).
Provider details
- NPI number
- 1760816045
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Zajac, Ceo(952) 412-4229
- License
- 44503 (MN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
- 2013-08-22
- Last updated
- 2013-08-22
Frequently asked questions
- What is New Kingdom Pediatrics LLC's NPI number?
- New Kingdom Pediatrics LLC's National Provider Identifier (NPI) is 1760816045, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is New Kingdom Pediatrics LLC?
- New Kingdom Pediatrics LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is New Kingdom Pediatrics LLC located?
- New Kingdom Pediatrics LLC's practice location on file with NPPES is 6452 City West Pkwy, Eden Prairie, MN 55344-3245.
- What is New Kingdom Pediatrics LLC's phone number?
- The practice phone number listed in the NPPES registry for New Kingdom Pediatrics LLC is (952) 999-0333.
- Does New Kingdom Pediatrics LLC accept Medicare?
- New Kingdom Pediatrics LLC 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 New Kingdom Pediatrics LLC?
- The authorized official listed on New Kingdom Pediatrics LLC's NPPES record is Robert Zajac, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is New Kingdom Pediatrics LLC's NPI active?
- Yes — New Kingdom Pediatrics LLC's NPI (1760816045) is active in the NPPES registry as of the last update on 2013-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.