Richard W Blomberg, MD
Individual provider Active NPI Anesthesiology Physician · Shakopee, MN
NPI 1912950973 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1912950973
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 35343 (MN)
- Practice address
- 1455 Saint Francis Ave
Shakopee, MN 55379-3374 - Phone
- (952) 403-3000
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mngi Digestive Health PA
Practice addresses (Care Compare)
3001 Broadway St NE
Suite 500
Minneapolis, MN 55413-2197
Phone (612) 871-1145
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100526000871 | MN | Practitioner - Anesthesiology | 2769511963 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Anesthesia Network, LLP | Anesthesiology | Current |
Accepting new patients |
| Mngi Digestive Health, P.a. | Current |
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
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
15700 37th Ave N
Plymouth, MN 55446
Phone (763) 577-0008
14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779
15700 37th Ave N
Ste 300
Plymouth, MN 55446
Phone (612) 870-5555
1455 Saint Francis Ave
Shakopee, MN 55379
Phone (952) 403-2200
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 35343 | MN | Yes |
Addresses
Primary practice location
1455 Saint Francis Ave
Shakopee, MN 55379-3374
Mailing address
14700 28TH Ave N
Suite 20
Plymouth, MN 55447-4835
Phone (763) 559-3779
Other providers in Shakopee, MN
- Ryan Berres
- Bio-Medical Applications of Minnesota, Inc.
- Steven Lloyd Bladow
- Halle Georgeann Blais
- Blessing Stars Home Health Care LLC
- Kevin H Blonigen
- Kalie Ann Boegeman
- Amanda Bogdonovich
- Edwin Ndemo Bogonko
- Gretta Bolstad
All providers in Shakopee, MN · Anesthesiology Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.