Derik Kenworthy, DO
NPI 1861726077 · Diagnostic Radiology Physician · Edina, MN
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Derik Kenworthy, DO is a Diagnostic Radiology Physician provider in Edina, MN (NPI 1861726077).
Provider details
- NPI number
- 1861726077
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- DR.0074105 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Diagnostic Radiology Physician2085R0202X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 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 (4)
- 1979 W Ray RdChandler, AZ 85224-4007Phone: (480) 821-9404Fax: (480) 857-1490
- 1501 E 3rd StDelta, CO 81416-2815Phone: (970) 874-7681
- 1460 G StSpringfield, OR 97477-4112Phone: (816) 800-9020
- 1110 N Sarah Dewitt DrGonzales, TX 78629-3311Phone: (816) 800-9020
Registry dates
- Enumerated
- 2009-09-22
- Last updated
- 2026-06-05
- Certified
- 2026-06-05
Frequently asked questions
- What is Derik Kenworthy's NPI number?
- Derik Kenworthy's National Provider Identifier (NPI) is 1861726077, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derik Kenworthy's specialty?
- Derik Kenworthy is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Derik Kenworthy located?
- Derik Kenworthy's practice location on file with NPPES is 3600 Minnesota Dr Ste 800, Edina, MN 55435-7915.
- What is Derik Kenworthy's phone number?
- The practice phone number listed in the NPPES registry for Derik Kenworthy is (952) 595-1100.
- Does Derik Kenworthy accept Medicare?
- Derik Kenworthy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Derik Kenworthy's NPI active?
- Yes — Derik Kenworthy's NPI (1861726077) is active in the NPPES registry as of the last update on 2026-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.