MINNESOTA ONCOLOGY HEMATOLOGY, PA
NPI 1376686774
Internal Medicine - Hematology & Oncology in Maplewood, MN

Q: What is Minnesota Oncology Hematology, PA's NPI number?

The NPI number for Minnesota Oncology Hematology, PA is 1376686774. It was assigned to this organization in the NPPES registry on February 15, 2007.

Q: What is Minnesota Oncology Hematology, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Active since February 15, 2007

1580 BEAM AVE, MAPLEWOOD, MN 55109(651) 779-7978(651) 779-7656 Get Directions Write a Review

NPPES record last updated: September 20, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Minnesota Oncology Hematology, Pa NPPES

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

MINNESOTA ONCOLOGY HEMATOLOGY, PA (NPI 1376686774) is a healthcare organization registered as a hematology & oncology in Maplewood, Minnesota and active in the NPI registry since February 2007. The organization lists Dean Gesme, President, as its authorized official.

NPPES Registry Identity

NPI1376686774

Entity TypeOrganization

Primary Taxonomy207RH0003X

Legal Business NameMINNESOTA ONCOLOGY HEMATOLOGY, PA

Location Address1580 BEAM AVEMaplewood, MN 55109-1127

Mailing Address1580 Beam AveMaplewood, MN 55109-1127 · (651) 779-7978 · Fax (651) 779-7656

Phone(651) 779-7978

Fax(651) 779-7656

Organization SubpartNo

Authorized OfficialDean GesmePresident · (612) 884-6300

Enumeration DateFebruary 15, 2007

Last NPPES UpdateSeptember 20, 2013

✔ NPI 1376686774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in MN · 1076

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedDietitian, RegisteredTaxonomy 133V00000X · License 1076 (MN)

Also ListedGenetic Counselor, MSTaxonomy 170300000X · License 1076 (MN)

Also ListedInternal MedicineTaxonomy 207R00000X · License 1076 (MN)

Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License 1076 (MN)

Also ListedObstetrics & Gynecology · Gynecologic OncologyTaxonomy 207VX0201X · License 1076 (MN)

Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X · License 1076 (MN)

Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X · License 1076 (MN)

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 1076 (MN)

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 1076 (MN)

Also ListedNurse PractitionerTaxonomy 363L00000X · License 1076 (MN)

Also ListedClinical Nurse SpecialistTaxonomy 364S00000X · License 1076 (MN)

1580 BEAM AVE, Maplewood, MN 55109

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Other Identifiers 3

Medicare NSC1145020009MN

Medicare ID-Type UnspecifiedC01828MN · Medicare

Medicaid896027500MN

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Minnesota Cancer Care Pharmacy carries, from the Medicare DMEPOS supplier directory.

Minnesota Cancer Care Pharmacy

DMEPOS supplier · Maplewood, MNOperated by Minnesota Oncology Hematology PA

✔

Accepts Medicare assignment

Minnesota Cancer Care Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)21610107

Medicare Participant SinceJanuary 1, 1995

Supplier Location1580 Beam AveMaplewood, MN 55109

Phone(651) 255-8480

Supplier Specialties

Pharmacy

Medicare Product Categories

Oral Anticancer Drugs

FDA anticancer drugs

Oral Antiemetic Drugs

FDA antiemetic drugs

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDRZEJ PETRYK M.D.

Internal Medicine (Hematology & Oncology)