Individual provider Active NPI

Gregory Simelgor

  • Anesthesiology Physician
  • Minneapolis, MN
National Provider Identifier
1548372840
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
1787-320 Issued in WI
Practice address
3001 Broadway St NE Ste 500
Minneapolis, MN 55413-2197
Phone
(612) 871-1145
Fax
(612) 870-5491
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 44092 MN
Anesthesiology Physician 207L00000X 1787-320 WI Primary

Addresses

Primary practice location

3001 Broadway St NE Ste 500
Minneapolis, MN 55413-2197

Mailing address

PO Box 14909
Minneapolis, MN 55414-0909
Phone (612) 871-1145

Other identifiers 1

IdentifierTypeStateIssuer
183485100MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040123000502 MN Practitioner - Anesthesiology 9830091412 Reassigns benefits to 4 organizations
I20230321001715 WI Practitioner - Anesthesiology 9830091412

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2000
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

State licenses

LicenseStateTypeSpecialty
1787-320WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hennepin Healthcare System Inc CurrentSince Jan 4, 2016 Accepting new patients
North American Partners in Anesthesia Wisconsin SC Anesthesiology CurrentSince Mar 1, 2023 Accepting new patients
Hennepin Healthcare System, Inc Current Accepting new patients
Metropolitan Anesthesia Network, LLP Anesthesiology CurrentSince Jul 25, 2023 Accepting new patients
Regional Anesthesia Services PA Anesthesiology CurrentSince Aug 24, 2019 Accepting new patients
Hennepin Healthcare System, Inc CurrentSince Jan 4, 2016 Accepting new patients
Mngi Digestive Health, P.a. CurrentSince Nov 4, 2019 Accepting new patients
Mngi Endoscopy ASC Inc PastSince Oct 27, 2019 Accepting new patients
Affiliated Endoscopy Centers, LLC Past Accepting new patients

Locations

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

1185 Town Centre Dr
Ste 205
Eagan, MN 55123

2620 Eagan Woods Dr
Ste 300
Eagan, MN 55121
Phone (651) 968-5215

13601 80th Cir N
Ste 100
Maple Grove, MN 55369
Phone (612) 219-5355

2020 E 28th St
Ste 100
Minneapolis, MN 55407
Phone (612) 455-0612

4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786

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

701 Park Ave
#350
Minneapolis, MN 55415
Phone (612) 873-5334

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

13911 Ridgedale Dr
Ste 404B
Minnetonka, MN 55305
Phone (612) 636-0061

15700 37th Ave N
Ste 300
Plymouth, MN 55446
Phone (612) 870-5555

14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779

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

69 Exchange St W
Saint Paul, MN 55102
Phone (651) 232-1100

333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256

1455 Saint Francis Ave
Shakopee, MN 55379
Phone (952) 403-2200

237 Radio Dr
Ste 210
Woodbury, MN 55125
Phone (612) 502-5092

2080 Woodwinds Dr
Ste 200
Woodbury, MN 55125
Phone (651) 642-1106

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

900 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 717-4121

Interoperability endpoints

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

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1548372840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14909",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554140909",
            "telephone_number": "612-871-1145",
            "fax_number": "612-870-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 BROADWAY ST NE STE 500",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132197",
            "telephone_number": "612-871-1145",
            "fax_number": "612-870-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMELGOR",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MN",
            "license": "44092",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "1787-320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183485100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.