Individual provider Active NPI

Andrew P Minigutti, MD

  • Family Medicine Physician
  • Frisco, TX
National Provider Identifier
1972536639
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L3756 Issued in TX
Practice address
4280 Main St
Ste 200
Frisco, TX 75033-3075
Phone
(972) 464-2510
Fax
(214) 705-1379
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Preventive Medicine) Physician 2083B0002X 85855495 FL
Family Medicine Physician 207Q00000X L3756 TX Primary

Addresses

Primary practice location

4280 Main St
Ste 200
Frisco, TX 75033-3075

Mailing address

4280 Main St
Ste 200
Frisco, TX 75033-3080
Phone (972) 464-2510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040401000811 TX Practitioner - Family Practice 0042202798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Berg and Minigutti PLLCGroup PAC ID 3678878477, 4 clinicians

Practice addresses (Care Compare)

4280 Main St
Suite 200
Frisco, TX 75033-3080
Phone 97246425101108

Hospital & facility affiliations

  • Medical City Plano Hospital, Plano, TX, CCN 450651

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
85855495FLMDObesity Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berg & Minigutti, PLLC Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
Berg & Minigutti, PLLC Family Medicine PastSince Jan 11, 2016 Accepting new patients
Physicians and Allied Health Professionals Group, PA Family Medicine Past Accepting new patients

Locations

4280 Main St
Ste 200
Frisco, TX 75033
Phone (972) 464-2510

3388 Main St
Ste 100
Frisco, TX 75033
Phone (214) 295-6597

8000 Eldorado Pkwy
Bldg D
McKinney, TX 75070
Phone (972) 464-2510

8000 Eldorado Pkwy
Ste A
McKinney, TX 75070
Phone (469) 214-5735

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1972536639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4280 MAIN ST",
            "address_2": "STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750333080",
            "telephone_number": "972-464-2510",
            "fax_number": "214-705-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 MAIN ST",
            "address_2": "STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750333075",
            "telephone_number": "972-464-2510",
            "fax_number": "214-705-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINIGUTTI",
        "first_name": "ANDREW",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "FL",
            "license": "85855495",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L3756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.