Active NPI
Gregory C Pippert, MD
- Emergency Medicine Physician
- Maple Grove, MN
National Provider Identifier
1124091731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 37489
- Practice address
- 7270 Forestview LN N
Suite #225
Maple Grove, MN 55369-5546 - Phone
- (866) 542-4932
- Fax
- (866) 542-6378
- NPI assigned
- Feb 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 37489 | MN | Primary |
Addresses
Primary practice location
7270 Forestview LN N
Suite #225
Maple Grove, MN 55369-5546
Mailing address
7270 Forestview LN N
Suite #225
Maple Grove, MN 55369-5546
Phone (866) 542-4932
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 392818700 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 18, 2017 through Jun 18, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37489 | MN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregory Pippert MD, PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Maple Grove, MN
- NPI 1992947501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303344000000",
"number": "1124091731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7270 FORESTVIEW LN N",
"address_2": "SUITE #225",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553695546",
"telephone_number": "866-542-4932",
"fax_number": "866-542-6378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7270 FORESTVIEW LN N",
"address_2": "SUITE #225",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553695546",
"telephone_number": "866-542-4932",
"fax_number": "866-542-6378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIPPERT",
"first_name": "GREGORY",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2011-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "37489",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "392818700",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.