1. Home
  2. Directory
  3. Minnesota
  4. Dundas
  5. Anesthesiology
  6. NPI Profile

MODERN THERAPEUTICS PLLC
NPI 1356159891
Anesthesiology in Dundas, MN

Active since December 30, 2024
200 SCHILLING DR S, DUNDAS, MN 55019(612) 488-2248 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 20, 2025, Dec 30, 2024 (2 updates tracked since 2024).

About Modern Therapeutics Pllc NPPES

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

MODERN THERAPEUTICS PLLC (NPI 1356159891), doing business as Modern Therapeutics, is a healthcare organization registered as an anesthesiology in Dundas, Minnesota and active in the NPI registry since December 2024. The organization lists Andrea Berube, Owner, as its authorized official.

NPPES Registry Identity

NPI1356159891
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameMODERN THERAPEUTICS PLLC
Location Address200 SCHILLING DR SDundas, MN 55019-4075
Mailing Address200 Schilling Dr SDundas, MN 55019-4075 · (612) 488-2248
Phone(612) 488-2248
Organization SubpartNo
Authorized OfficialAndrea BerubeOwner · (612) 616-7731
Enumeration DateDecember 30, 2024
Last NPPES UpdateMarch 20, 20252 updates tracked since enumeration
NPPES CertifiedMarch 20, 2025
✔ NPI 1356159891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
200 SCHILLING DR S, Dundas, MN 55019
Open in Google Maps ↗

Other Names 1

Doing Business AsModern Therapeutics

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

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 24D2309900

Modern Therapeutics · Dundas, MN
Expired · Aug 21, 2026
CLIA Number24D2309900
Laboratory TypeKetamine Clinic
Certificate Effective DateAugust 22, 2024
Certificate Expiration DateAugust 21, 2026
Laboratory DirectorAshley Hanson
Laboratory Phone(612) 488-2248
Laboratory LocationModern Therapeutics200 Schilling Drive, Dundas, MN 55019
CLIA data matches this NPI record on: Address 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 Modern Therapeutics PLLC's NPI number?

The NPI number for Modern Therapeutics PLLC is 1356159891. It was assigned to this organization in the NPPES registry on December 30, 2024. The provider is doing business as Modern Therapeutics.

Where is Modern Therapeutics PLLC located?

Modern Therapeutics PLLC is located at 200 Schilling Dr S, Dundas, MN 55019. The listed phone number is (612) 488-2248.

What is Modern Therapeutics PLLC's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

When was this NPI record last updated?

The NPPES record for Modern Therapeutics PLLC was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.