NPIMap

Individual provider Active NPI

Mark R Migliori, MD

  • Plastic and Reconstructive Surgery Physician
  • Edina, MN
National Provider Identifier
1942228168
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
35467 Issued in MN
Practice address
7450 France Ave S Ste 220
Edina, MN 55435-4792
Phone
(952) 925-1111
Fax
(952) 942-3446
NPI assigned
Jul 17, 2006
Last updated
Nov 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 35467 MN
Plastic and Reconstructive Surgery Physician 2086S0122X 35467 MN Primary

Addresses

Primary practice location

7450 France Ave S Ste 220
Edina, MN 55435-4792

Mailing address

7450 France Ave S Ste 220
Edina, MN 55435-4792
Phone (952) 925-1111

Other identifiers 1

IdentifierTypeStateIssuer
097217700MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100305000476 MN Practitioner - Plastic and Reconstructive Surgery 2365587060 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Warren Alpert Medical School of Brown University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7450 France Ave S
Suite 220
Edina, MN 55435-4792
Phone (952) 925-1111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy36
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bhatti Gi Surgery Center LLC CurrentSince Aug 1, 2022 Accepting new patients
Mark R Migliori, MD, PA Clinic/Center CurrentSince Jul 1, 1995 Accepting new patients

Locations

1447 White Oak Dr
Chaska, MN 55318
Phone (952) 368-3800

7450 France Ave S
Ste 220
Minneapolis, MN 55435
Phone (952) 925-1111

Interoperability endpoints

  • Direct secure messaging: mmigliori91164@excellian.direct.allina.com

Organizations & group practices 2

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.

Hospital & facility affiliations 25

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1942228168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 FRANCE AVE S STE 220",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354792",
            "telephone_number": "952-925-1111",
            "fax_number": "952-922-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 FRANCE AVE S STE 220",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354792",
            "telephone_number": "952-925-1111",
            "fax_number": "952-942-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGLIORI",
        "first_name": "MARK",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-11-16",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "35467",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MN",
            "license": "35467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097217700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.