Organization Active NPI

Mngi Digestive Health, P.a.

  • Gastroenterology Physician
  • Minneapolis, MN
National Provider Identifier
1609804541
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
593 Issued in MN
Legal business name
MNGI DIGESTIVE HEALTH, P.A.
Practice address
3001 Broadway St NE Ste 500
Minneapolis, MN 55413
Phone
(612) 871-1145
Fax
(612) 870-5491
NPI assigned
Jun 29, 2006
Last updated
Jun 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Gayle M Peterson, CPCS
Title
Senior Business Office Analyst
Phone
(612) 870-5557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 593 MN Primary

Addresses

Primary practice location

3001 Broadway St NE Ste 500
Minneapolis, MN 55413

Mailing address

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

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040504001467 MN Part B Supplier - Clinic/Group Practice 8123016557 Receives reassigned benefits from 360 practitioners
Practice locations: Robbinsdale, MN; Minneapolis, MN; Minnetonka, MN; Plymouth, MN; Woodbury, MN; Saint Cloud, MN; Saint Paul, MN; Shakopee, MN…
O20230919002262 WI Part B Supplier - Clinic/Group Practice 8123016557 Receives reassigned benefits from 35 practitioners
Practice locations: Hudson, WI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D1061742Mngi Digestive Health3001 Broadway Street NE, Minneapolis, MN 55413AccreditationMar 17, 2027
24D2124624Mngi Digestive Health3001 Broadway Street NE Suite 120, Minneapolis, MN 55413Certificate of waiverJan 22, 2027

National Provider Directory

National Provider Directory

Locations

14050 Nicollet Ave
Ste 101
Burnsville, MN 55337
Phone (952) 435-4170

303 E Nicollet Blvd
Ste 245
Burnsville, MN 55337
Phone (952) 892-2000

7770 Dell Rd
Ste 150
Chanhassen, MN 55317

3960 Coon Rapids Blvd NW
Ste 218
Coon Rapids, MN 55433

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

9145 Springbrook Dr NW
Ste 300
Coon Rapids, MN 55433
Phone (612) 547-5600

9145 Springbrook Dr NW
Ste 301
Coon Rapids, MN 55433
Phone (612) 547-5600

7600 Parklawn Ave
Ste 108
Edina, MN 55435
Phone (612) 870-5500

10150 Niagara Ln N
#210
Maple Grove, MN 55369

10150 Niagara Ln N
Ste 210
Maple Grove, MN 55369

3001 Broadway St NE
Minneapolis, MN 55413
Phone (612) 558-3358

3001 Broadway St NE
#B700
Minneapolis, MN 55413

3001 Broadway St NE
Ste 120
Minneapolis, MN 55413

606 24th Ave S
Ste 800
Minneapolis, MN 55454
Phone (612) 625-5155

Sds 12 1488
Minneapolis, MN 55486

1900 Centracare Cir
Ste 132
Saint Cloud, MN 56303

1900 Centracare Cir
Ste 1325
Saint Cloud, MN 56303
Phone (320) 255-5777

1185 Town Centre Dr
Ste 205
Saint Paul, MN 55123

1973 Sloan Pl
Ste 200
Saint Paul, MN 55117
Phone (651) 772-5660

2635 University Ave W
Ste 100
Saint Paul, MN 55114
Phone (612) 435-8700

3588 Arcade St
#110
Vadnais Heights, MN 55127

3588 Arcade St
Ste 110
Vadnais Heights, MN 55127

237 Radio Dr
Woodbury, MN 55125
Phone (952) 838-0650

2651 Hillcrest Dr
Ste 303
Hudson, WI 54016
Phone (715) 531-6818

Practitioners & affiliated clinicians

Practitioners 385

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.

View all 385

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1609804541",
    "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": "55413",
            "telephone_number": "612-871-1145",
            "fax_number": "612-870-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MNGI DIGESTIVE HEALTH, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SENIOR BUSINESS OFFICE ANALYST",
        "authorized_official_telephone_number": "612-870-5557",
        "authorized_official_credential": "CPCS"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MN",
            "license": "593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.