PJG MEDICAL L.L.C.
NPI 1285241075
Clinic/Center - Health Service in Saint Paul, MN

NPI Status: Active since September 25, 2020

Contact Information

700 RAYMOND AVE STE 130
SAINT PAUL, MN
ZIP 55114
Phone: (612) 895-1510
Fax: (833) 979-0945

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  • Organization
  • Clinic/Center
  • Health Service
  • Accepts Insurance
  • CLIA Number: 24D2222054
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-26-2027

About PJG MEDICAL L.L.C.

This page provides the complete NPI Profile along with additional information for Pjg Medical L.l.c., a provider established in Saint Paul, Minnesota operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1285241075 assigned on September 2020. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Philip Gyura Np (Owner)

NPI
1285241075
Provider Name
PJG MEDICAL L.L.C.
Entity Type
Organization
Location Address
700 RAYMOND AVE STE 130 SAINT PAUL, MN 55114
Location Phone
(612) 895-1510
Location Fax
(833) 979-0945
Mailing Address
700 RAYMOND AVE STE 130 SAINT PAUL, MN 55114
Mailing Phone
(612) 895-1510
Mailing Fax
(833) 979-0945
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-25-2020
Last Update Date
12-16-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Atlas $1,300 Gold - PPO
  • Atlas $2,000 Standard Gold - PPO
  • Atlas $3,050 Plus Silver - PPO
  • Atlas $3,800 HSA Silver - PPO
  • Atlas $6,000 Standard Silver - PPO
  • Atlas $6,800 Plus Bronze HSA - PPO
  • Atlas $7,500 Standard Bronze HSA - PPO
  • Atlas $8,400 HSA Bronze - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PHILIP GYURA NP

Authorized Official Title
OWNER
Authorized Official Phone
(507) 398-2481

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
24D2222054
Facility Type
Physician Office
Certificate Effective Date
April 27, 2025
Certificate Expiration Date
April 26, 2027
Laboratory Director
PHILIP J. GYURA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pjg Medical L.l.c. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1285241075, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
5
Unchanged
Pos 5
2
Doubled → 4
Pos 6
4
Unchanged
Pos 7
1
Doubled → 2
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 2 → 4 1 → 2 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 6 + 5 + 4 + 4 + 2 + 0 + 1 + 4 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1285241075.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
700 RAYMOND AVE STE 130
SAINT PAUL, MN 55114
Clinic/Center
700 RAYMOND AVE STE 130
SAINT PAUL, MN 55114
Nurse Practitioner (Family)
700 RAYMOND AVE STE 130
SAINT PAUL, MN 55114
Psychiatry & Neurology (Psychiatry)
700 RAYMOND AVE STE 130
SAINT PAUL, MN 55114
Psychiatry & Neurology (Psychiatry)
700 RAYMOND AVE STE 130
SAINT PAUL, MN 55114
Peer Specialist
700 RAYMOND AVE STE 130
SAINT PAUL, MN 55114
Counselor (Addiction (Substance Use Disorder))
700 RAYMOND AVE STE 130
SAINT PAUL, MN 55114

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285241075, enumerated as an "organization" on September 25, 2020.

The provider is located at 700 RAYMOND AVE STE 130 SAINT PAUL, MN 55114 and the phone number is (612) 895-1510.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.

The provider might be accepting Accepts: HealthPartners. Please consult your insurance carrier or call the provider to verify.