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MINNESOTA CENTER FOR OBESITY, METABOLISM & ENDOCRINOLOGY, PA
NPI 1164477709
Internal Medicine - Endocrinology, Diabetes & Metabolism in Eagan, MN

Active since May 23, 2006CLIA 24D1020501 · Waiver
1185 TOWN CENTRE DR, SUITE 220, EAGAN, MN 55123(651) 379-1600(651) 379-1650 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Minnesota Center For Obesity, Metabolism & Endocrinology, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINNESOTA CENTER FOR OBESITY, METABOLISM & ENDOCRINOLOGY, PA (NPI 1164477709) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Eagan, Minnesota and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through November 2, 2027 and lists Joseph Gonzalez-campoy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1164477709
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameMINNESOTA CENTER FOR OBESITY, METABOLISM & ENDOCRINOLOGY, PA
Location Address1185 TOWN CENTRE DR, SUITE 220Eagan, MN 55123-1187
Mailing Address1185 Town Centre Dr, Suite 220Eagan, MN 55123-1187 · (651) 379-1600 · Fax (651) 379-1650
Phone(651) 379-1600
Fax(651) 379-1650
Organization SubpartNo
Authorized OfficialJoseph Gonzalez-campoyCeo · (651) 379-1600
Enumeration DateMay 23, 2006
Last NPPES UpdateMarch 5, 2026
NPPES CertifiedMarch 5, 2026
✔ NPI 1164477709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in MN · 1591
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 1591 (MN)
1185 TOWN CENTRE DR, Eagan, MN 55123
Open in Google Maps ↗

Other Names 1

Other NameMncome, Pa

Other Identifiers 6

OtherDB4333MN · Rr Medicare
Medicaid410654700MN
Other96386MN · Healthpartners
Other165867H314MN · Ucare
Other547S0MIMN · Blue Cross Blue Shield
OtherC03334MN · Medicare Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Minnesota Center For Obesity, Metabolism & Endocrinology, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Minnesota Center For Obesity, Metabolism & Endocrinology, PA, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Joseph Gonzalez-Campoy, M.D., PH.D.
Endocrinology
NPI 1720033640
1185 TOWN CENTRE DR SUITE 220
Eagan, MN 55123
(651) 379-1600
✔ PECOS✔ Accepts MedicareSame address
Bruce Richardson, MD
Family Practice
NPI 1699736066
1185 TOWN CENTRE DR STE 220
Eagan, MN 55123
(651) 379-1600
✔ PECOS✔ Accepts MedicareSame address
Bronwyn Knaebe, RD
Registered Dietitian or Nutrition Professional
NPI 1821594656
1185 TOWN CENTRE DR STE 220
Eagan, MN 55123
(651) 379-1600
✔ Accepts MedicareSame address
Virginia Villarreal, RN, CNP, FNP-BC
Nurse Practitioner
NPI 1518583590
1185 TOWN CENTRE DR
Eagan, MN 55123
(760) 583-1525
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D1020501

Minnesota Center For Obesity, Metabolism & Endocri · Saint Paul, MN
Active · expires Nov 2, 2027
CLIA Number24D1020501
Laboratory TypePhysician Office
Certificate Effective DateNovember 3, 2025
Certificate Expiration DateNovember 2, 2027
Laboratory DirectorJ Michael Gonzalez-Campoy
Laboratory Phone(651) 379-1600
Laboratory LocationMinnesota Center For Obesity, Metabolism & Endocri1185 Town Centre Drive, Saint Paul, MN 55123
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Minnesota Center For Obesity, Metabolism & Endocrinology, PA's NPI number?

The NPI number for Minnesota Center For Obesity, Metabolism & Endocrinology, PA is 1164477709. It was assigned to this organization in the NPPES registry on May 23, 2006. The provider is also known as Mncome, PA.

Where is Minnesota Center For Obesity, Metabolism & Endocrinology, PA located?

Minnesota Center For Obesity, Metabolism & Endocrinology, PA is located at 1185 Town Centre Dr Suite 220, Eagan, MN 55123. The listed phone number is (651) 379-1600.

What is Minnesota Center For Obesity, Metabolism & Endocrinology, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Minnesota Center For Obesity, Metabolism & Endocrinology, PA enrolled in Medicare?

Yes. Minnesota Center For Obesity, Metabolism & Endocrinology, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Minnesota Center For Obesity, Metabolism & Endocrinology, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Minnesota Center For Obesity, Metabolism & Endocrinology, PA, in Endocrinology, Family Practice, Nurse Practitioner and Registered Dietitian or Nutrition Professional. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Minnesota Center For Obesity, Metabolism & Endocrinology, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1020501) is associated with this NPI, valid through November 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Minnesota Center For Obesity, Metabolism & Endocrinology, PA was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.