Active NPI
University of Minnesota Health Clinics and Surgery Center, Inc.
Doing business as University of Minnesota Health Breast Center
- Mammography Clinic/Center
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mammography Clinic/Center
- Legal business name
- UNIVERSITY OF MINNESOTA HEALTH CLINICS AND SURGERY CENTER, INC.
- Doing business as
- University of Minnesota Health Breast Center
- Practice address
- 909 Fulton St SE
Minneapolis, MN 55414-0000 - Phone
- (612) 672-7422
- NPI assigned
- Jul 18, 2015
- Last updated
- Dec 4, 2024
- Organization subpart
- Yes
- Parent organization
- UNIVERSITY OF MINNESOTA HEALTH CLINICS AND SURGERY CENTER, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Sibert
- Title
- Cfo
- Phone
- (612) 884-0600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mammography Clinic/Center | 261QR0206X | Primary |
Addresses
Primary practice location
909 Fulton St SE
Minneapolis, MN 55414-0000
Mailing address
720 Washington Ave SE
Suite 300
Minneapolis, MN 55414-2924
Phone (612) 884-0649
Other names 1
- University of Minnesota Health Breast Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160607001400 | MN | Part B Supplier - Mammography Center | 9133423304 | Practice locations: Minneapolis, MN |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Clinic/Center
- Minneapolis, MN
- NPI 1053795187
9133423304
-
dba Fairview Minneapolis Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Minneapolis, MN
- NPI 1639553779
9133423304
-
dba M Health CSC - Independent Clinical Lab
- Clinical Medical Laboratory
- Minneapolis, MN
- NPI 1720462864
9133423304
National Provider Directory
National Provider Directory- Part of
- Univ of MN Health Clinics
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Clinic/Center
- Minneapolis, MN
- NPI 1053795187
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- Minneapolis, MN
- NPI 1306251871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733270400000",
"number": "1275917312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 WASHINGTON AVE SE",
"address_2": "SUITE 300",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554142924",
"telephone_number": "612-884-0649",
"fax_number": "612-676-8992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 FULTON ST SE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554140000",
"telephone_number": "612-672-7422"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY OF MINNESOTA HEALTH CLINICS AND SURGERY CENTER, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "UNIVERSITY OF MINNESOTA HEALTH CLINICS AND SURGERY CENTER, INC.",
"enumeration_date": "2015-07-18",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A",
"authorized_official_last_name": "SIBERT",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "612-884-0600"
},
"taxonomies": [
{
"code": "261QR0206X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mammography",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "University of Minnesota Health Breast Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Minneapolis, MN
- University of Minnesota
- University of Minnesota
- University of Minnesota Department of Ophthalmology
- University of Minnesota Health Clinics and Surgery Center Inc (University of Minnesota Health Clinics and Surgery Center - Anesthesia)
- University of Minnesota Health Clinics and Surgery Center, Inc.
- University of Minnesota Health Clinics and Surgery Center, Inc. (Fairview Minneapolis Ambulatory Surgery Center)
- University of Minnesota Health Clinics and Surgery Center, Inc. (M Health CSC - Independent Clinical Lab)
- University of Minnesota Medical Center, Fairview
- University of Minnesota Pediatric Dental Clinic
- University of Minnesota Physicians (M Physicians Mill City Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.