Active NPI
Metropolitan Gastrointestinal Specialists
- Gastroenterology Physician
- Maple Grove, MN
National Provider Identifier
1467640482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 22031
- Legal business name
- METROPOLITAN GASTROINTESTINAL SPECIALISTS
- Practice address
- 17322 91St Ave N
Maple Grove, MN 55311-5403 - Phone
- (612) 414-1033
- Fax
- (763) 416-4565
- NPI assigned
- Oct 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Peter Kromhout, M.D.
- Title
- President
- Phone
- (612) 414-1033
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 22031 | MN | Primary |
Addresses
Primary practice location
17322 91St Ave N
Maple Grove, MN 55311-5403
Mailing address
17322 91St Ave N
Maple Grove, MN 55311-5403
Phone (612) 414-1033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Buffalo, MN
- NPI 1720098932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191456000000",
"number": "1467640482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17322 91ST AVE N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553115403",
"telephone_number": "612-414-1033",
"fax_number": "763-416-4565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17322 91ST AVE N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553115403",
"telephone_number": "612-414-1033",
"fax_number": "763-416-4565"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METROPOLITAN GASTROINTESTINAL SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-04",
"last_updated": "2007-10-04",
"status": "A",
"authorized_official_last_name": "KROMHOUT",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "PETER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "612-414-1033",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "MN",
"license": "22031",
"primary": true
}
],
"identifiers": [],
"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 Oct 4, 2007; 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.