NPIMap

Mngi Digestive Health, P.a.

Organization Active NPI Gastroenterology Physician · Minneapolis, MN

NPI 1609804541 · NPPES record last updated Jun 25, 2026

Key facts

NPI
1609804541
Entity type
Organization (NPI type 2)
Primary specialty
Gastroenterology Physician 207RG0100X
License
593 (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
Organization subpart
No

Authorized official

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

Practitioners 380

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 380

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D1061742Mngi Digestive Health
3001 Broadway Street NE, Minneapolis, MN 55413		AccreditationMar 17, 2027
24D2124624Mngi Digestive Health
3001 Broadway Street NE Suite 120, Minneapolis, MN 55413		Certificate of waiverJan 22, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MN, WI

Medicare enrollment records

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

National Provider Directory

Locations

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

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

7770 Dell Rd
Ste 150
Chanhassen, MN 55317

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

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

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

1185 Town Centre Dr
Eagan, MN 55123
Phone 61243539602820

1185 Town Centre Dr
Ste 205
Eagan, MN 55123

10150 Niagara Ln N
Ste 210
Maple Grove, MN 55369

10150 Niagara Ln N
#210
Maple Grove, MN 55369

3001 Broadway St NE
Ste 120
Minneapolis, MN 55413

Sds 12 1488
Minneapolis, MN 55486

3001 Broadway St NE
#B700
Minneapolis, MN 55413

3366 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5281

1900 Centracare Cir
Ste 132
Saint Cloud, MN 56303

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

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

1455 Saint Francis Ave
Ste 250
Shakopee, MN 55379
Phone (952) 403-2600

3588 Arcade St
Ste 110
Vadnais Heights, MN 55127

3588 Arcade St
#110
Vadnais Heights, MN 55127

2651 Hillcrest Dr
Ste 303
Hudson, WI 54016

2651 Hillcrest Dr
Ste 301
Hudson, WI 54016
Phone (651) 333-2190

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207RG0100X 593 MN Yes

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

Other identifiers

IdentifierTypeStateIssuer
329508700MedicaidMN

Other providers in Minneapolis, MN

All providers in Minneapolis, MN · Gastroenterology Physician in Minnesota

Sources for this page

Verify at the official NPI Registry.