Active NPI
John D Liveringhouse, MD
- Gastroenterology Physician
- Woodbury, MN
On this page
- Key facts
- Organizations & group practices4
- Hospital & facility affiliations17
- Owned or controlled facilities with NPI records1
- Care Compare profile
- Medicare participation
- All facility ownership & control disclosures1
- National Provider Directory
- Specialties & licenses1
- Addresses
- NPI Registry JSON
- Other providers in Woodbury, MN
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 45036
- Practice address
- 237 Radio Dr Ste 210
Woodbury, MN 55125-4478 - Phone
- (612) 871-1145
- Fax
- (612) 870-5491
- NPI assigned
- Mar 8, 2006
- Sex
- Male
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Gastroenterology Physician
- Minneapolis, MN
- NPI 1609804541
Gastroenterology, MN, WI
-
- Multi-Specialty Clinic/Center
- St Joseph, MN
- NPI 1134121759
-
- Multi-Specialty Clinic/Center
- Saint Cloud, MN
- NPI 1225030844
-
- Anesthesiology Physician
- Evans, GA
- NPI 1255974226
Hospital & facility affiliations 17
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Paul, MN
- NPI 1265474704
Hospital
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Columbia Heights, MN
- NPI 1609587229
5% Or Greater Direct Ownership Interest, Corporate Director
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Minnesota Medical School, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mngi Digestive Health PA
Practice addresses (Care Compare)
1185 Town Centre Dr
Suite 200
Eagan, MN 55123-1343
Phone (612) 871-1145
15700 37TH Ave N
Plymouth, MN 55446-3399
Phone (612) 871-1145
1575 Beam Ave
Maplewood, MN 55109-1126
Phone (651) 232-7000
201 E Nicollet Blvd
Burnsville, MN 55337-5714
Phone (612) 892-2121
2651 Hillcrest Dr
Suite 302
Hudson, WI 54016-9919
Phone (612) 871-1145
3001 Broadway St NE
Suite 500
Minneapolis, MN 55413-2197
Phone (612) 871-1145
3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 520-5200
333 Smith Ave N
Saint Paul, MN 55102-2344
Phone (651) 241-8000
3588 Arcade St
Suite 110
Vadnais Heights, MN 55127-7135
Phone (612) 871-1145
9145 Springbrook Dr NW
Suite 300
Coon Rapids, MN 55433-5897
Phone (612) 871-1145
Hospital & facility affiliations
- Allina United Hospital
- M Health Fairview Woodwinds Hospital
- M Health Fairview St John'S Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 63 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 103 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060602000222 | MN | Practitioner - Gastroenterology | 5890760037 | Reassigns benefits to 1 organization |
| I20231004002956 | WI | Practitioner - Gastroenterology | 5890760037 | Reassigns benefits to 1 organization |
All facility ownership & control disclosures 1
Medicare enrollment filesFacilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| All Homecaring Minnesota, Inc. | Home health agency | 5% Or Greater Direct Ownership Interest (15%) Corporate Director |
Jan 1, 2022 Jan 1, 2022 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45036 | MN | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mngi Digestive Health, P.a. | Gastroenterology | Current | Accepting new patients |
| Centracare Clinic | Past | Accepting new patients | |
| Gastroenterology Consultants of Augusta, PC | Past | Accepting new patients | |
| Centracare Clinic | Past | Accepting new patients |
Locations
201 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 892-2000
9855 Hospital Dr
Ste 104
Maple Grove, MN 55369
Phone (763) 581-5900
9875 Hospital Dr
Maple Grove, MN 55369
Phone (763) 581-1000
9855 Hospital Dr
Ste 102B
Maple Grove, MN 55369
Phone (763) 581-5600
6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477
15700 37th Ave N
Plymouth, MN 55446
Phone (763) 577-0008
3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048
1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000
237 Radio Dr
Ste 210
Woodbury, MN 55125
Phone (612) 502-5092
1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100
2651 Hillcrest Dr
Ste 302
Hudson, WI 54016
Phone (651) 241-5290
Interoperability endpoints
- john.liveringhousemd.p1@direct.mngastro.nextgenshare.com
- https://api.platform.athenahealth.com/15547/brand/1/csg/1/fhir/r4
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 45036 | MN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
237 Radio Dr Ste 210
Woodbury, MN 55125-4478
Mailing address
PO Box 14909
Minneapolis, MN 55414-0909
Phone (612) 871-1145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 19, 2023.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695081600000",
"number": "1902874829",
"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": "237 RADIO DR STE 210",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551254478",
"telephone_number": "612-871-1145",
"fax_number": "612-870-5491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVERINGHOUSE",
"first_name": "JOHN",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2023-09-19",
"certification_date": "2023-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MN",
"license": "45036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- 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.