Individual provider Active NPI

Mark Andrew Ciagne, M.D.

  • Occupational Medicine Physician
  • Maple Grove, MN
National Provider Identifier
1861670028
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
52759 Issued in MN
Practice address
11672 Elm Creek Blvd N
Maple Grove, MN 55369-2231
Phone
(763) 416-4444
NPI assigned
Feb 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X 52759 MN
Occupational Medicine Physician 2083X0100X 52759 MN Primary

Addresses

Primary practice location

11672 Elm Creek Blvd N
Maple Grove, MN 55369-2231

Mailing address

2001 Butterfield Rd Ste 300
Downers Grove, IL 60515-1069
Phone (630) 725-2700

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
I20120905000744 MN Practitioner - Preventive Medicine 3577710003 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Preventive Medicine
Education
Creighton University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Twin Cities CardiologyGroup PAC ID 9537695408, 2 clinicians

Practice addresses (Care Compare)

1421 Wayzata Blvd
Suite 200
Wayzata, MN 55391-2071
Phone (952) 232-6132

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52759MNMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Cities Cardiology CurrentSince Sep 1, 2025 Accepting new patients
Interventional Spine and Pain Physicians, PA CurrentSince Sep 15, 2024 Accepting new patients
American Current Care of Minnesota PC CurrentSince Aug 28, 2023 Accepting new patients
Anesthesia Associates, PLLC PastSince Jul 15, 2023 Accepting new patients

Locations

10190 Baltimore St NE
Ste 100
Blaine, MN 55449
Phone (763) 780-8264

14000 Nicollet Ave
Ste 104
Burnsville, MN 55337

916 Saint Peter Ave E
Delano, MN 55328
Phone (763) 972-9172

7700 France Ave S
Ste 260
Edina, MN 55435

9645 Grove Cir N
Ste 200
Maple Grove, MN 55369
Phone (763) 300-2193

1421 Wayzata Blvd
Ste 200
Wayzata, MN 55391
Phone (952) 232-6132

Organizations & group practices 4

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": "1202428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1861670028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 300",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151069",
            "telephone_number": "630-725-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11672 ELM CREEK BLVD N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553692231",
            "telephone_number": "763-416-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIAGNE",
        "first_name": "MARK",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-08",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "MN",
            "license": "52759",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "MN",
            "license": "52759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

Verify at the official NPI Registry.