Individual provider Active NPI

Constance Gilloon, MD

  • Anesthesiology Physician
  • Minneapolis, MN
National Provider Identifier
1316051626
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
55283 Issued in WI
Practice address
1 Veterans Drive Minneapolis Vamc
Minneapolis, MN 55417
Phone
(612) 467-6122
Fax
(608) 263-0575
NPI assigned
Aug 17, 2006
Last updated
Sep 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 55283 WI Primary

Addresses

Primary practice location

1 Veterans Drive Minneapolis Vamc
Minneapolis, MN 55417

Mailing address

1 Veterans Drive Minneapolis Vamc
Minneapolis, MN 55417
Phone (612) 467-6122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121015000368 MN Practitioner - Anesthesiology 4486778362 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Iowa, RJ & L Carver College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mngi Digestive Health PAGroup PAC ID 8123016557, 276 clinicians

Practice addresses (Care Compare)

3001 Broadway St NE
Suite 500
Minneapolis, MN 55413-2197
Phone (612) 871-1145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Current Accepting new patients
Fairview Clinics CurrentSince Aug 24, 2012 Accepting new patients
Mngi Digestive Health, P.a. CurrentSince Feb 24, 2020 Accepting new patients
University Anesthesia Providers, LLC Anesthesiology CurrentSince Sep 24, 2012 Accepting new patients
Fairview Health Services CurrentSince Aug 24, 2012 Accepting new patients

Locations

5705 W Old Shakopee Rd
Ste 150
Bloomington, MN 55437
Phone (612) 870-5530

9145 Springbrook Dr NW
Ste 200
Coon Rapids, MN 55433
Phone (612) 625-8999

1185 Town Centre Dr
Ste 205
Eagan, MN 55123

20 Lake St N
Ste 210
Forest Lake, MN 55025
Phone (612) 672-1500

3001 Broadway St NE
Ste 500
Minneapolis, MN 55413
Phone (612) 870-5557

500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300

800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547

15700 37th Ave N
Plymouth, MN 55446
Phone (763) 577-0008

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1316051626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VETERANS DRIVE MINNEAPOLIS VAMC",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55417",
            "telephone_number": "612-467-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VETERANS DRIVE MINNEAPOLIS VAMC",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55417",
            "telephone_number": "612-467-6122",
            "fax_number": "608-263-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLOON",
        "first_name": "CONSTANCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "55283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.