Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katharine Rae Lange, MD

Individual provider Pediatrics Physician · NPI 1154612463

Katharine Rae Lange, MD practises Pediatric Medicine in Minneapolis, Minnesota. Graduated from Georgetown University School of Medicine in 2011, 15 years ago. Practices with Hackensack Meridian Health Medical Group - Complex Care PC, a 28-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and New York.

Years since qualifying
15
Trained at
Georgetown University School of Medicine
Licensed in
MN, NY
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2525 Chicago Ave S
Minneapolis, MN 55404
Phone: (612) 813-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 30 Prospect Ave, Hackensack, NJ 07601-1915 — (551) 996-2000

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 62945 (MN)
Pediatrics Physician Taxonomy 208000000X · Licence 273683 (NY)

Record details

NPI number1154612463
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 21, 2011
Last updated in NPPESSeptember 18, 2022
Certification dateSeptember 18, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Hackensack Meridian Health Medical Group - Complex Care Pc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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