Doctor profile · Federal record

Dr. Bodhi Kannon, M.D.

Psychiatry Physician (CMS: Psychiatry) · Psychiatry Physician · Fridley, MN

  • NPI 1740306240
  • Accepts Medicare
  • MIPS 83.5 / 100 · 2023
  • 37 yrs in practice
  • Licensed in 2 states
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
480 Osborne RD Ne Ste 260
Fridley, MN 554322866
(763) 236-3800
Mailing address
2925 Chicago Ave
Minneapolis, MN 554071321

Credentials & registration

NPPES · NUCC
NPI registered
March 2007 — 19 yrs on file
Profile last updated
March 30, 2021
Year of graduation
1989 — 37 yrs since
Specialty taxonomy
2084P0800X — NUCC code
State licenses (2)
Minnesota #61296 · Washington #MD00031094

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1740306240. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
53
Distinct HCPCS
1
Medicare allowed
$8,843
HCPCS Description Services Patients Avg allowed
99285 Emergency department visit with high level of medical decision making 53 47 $167

In context: peer comparison

Among 9 peers in Fridley Psychiatry Physician, average services per provider: 68. This provider delivers 0.8× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Bodhi Kannon's medical specialty?
Dr. Bodhi Kannon practices Psychiatry Physician in Fridley, MN.
Where does Dr. Bodhi Kannon practice?
Dr. Bodhi Kannon practices at 480 Osborne RD Ne Ste 260, Fridley, MN 554322866. Office phone: 7632363800.
What is Dr. Bodhi Kannon's NPI?
Dr. Bodhi Kannon's National Provider Identifier (NPI) is 1740306240, issued by NPPES.
Does Dr. Bodhi Kannon accept Medicare assignment?
Yes. Dr. Bodhi Kannon accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Bodhi Kannon commonly perform?
Top Medicare-reported procedures in 2023: Emergency department visit with high level of medical decision making (HCPCS 99285). Source: CMS Medicare Physician & Other Practitioners file.