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MNGI DIGESTIVE HEALTH, P.A.
NPI 1609804541
Internal Medicine - Gastroenterology in Minneapolis, MN

Active since June 29, 2006CLIA Certified · 5 labs
3001 BROADWAY ST NE STE 500, MINNEAPOLIS, MN 55413(612) 871-1145(612) 870-5491 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 6, 2026, May 19, 2020, Aug 24, 2018 (3 updates tracked since 2018).

About Mngi Digestive Health, P.a. NPPES

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

MNGI DIGESTIVE HEALTH, P.A. (NPI 1609804541) is a healthcare organization registered as a gastroenterology in Minneapolis, Minnesota and active in the NPI registry since June 2006. The organization holds 5 active CLIA laboratory certificates and lists Gayle M Peterson, Senior Business Office Analyst, as its authorized official.

NPPES Registry Identity

NPI1609804541
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameMNGI DIGESTIVE HEALTH, P.A.
Location Address3001 BROADWAY ST NE STE 500Minneapolis, MN 55413
Mailing AddressPo Box 14909Minneapolis, MN 55414-0909 · (612) 871-1145 · Fax (612) 870-5491
Phone(612) 871-1145
Fax(612) 870-5491
Organization SubpartNo
Authorized OfficialGayle M PetersonSenior Business Office Analyst · (612) 870-5557
Enumeration DateJune 29, 2006
Last NPPES UpdateJune 25, 20263 updates tracked since enumeration
NPPES CertifiedJune 25, 2026
✔ NPI 1609804541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in MN · 593
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
3001 BROADWAY ST NE STE 500, Minneapolis, MN 55413
Open in Google Maps ↗

Other Identifiers 1

Medicaid329508700MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mngi Digestive Health, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

319

Medicare enrollment records show 319 clinicians reassign Medicare billing to Mngi Digestive Health, P.A., which bills Medicare for the services they deliver. Of these, 12 practice at this address and 190 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Certified Registered Nurse Anesthetist (CRNA)140
Gastroenterology102
Nurse Practitioner28
Anesthesiology25
Internal Medicine9
Pediatric Medicine7
Registered Dietitian or Nutrition Professional6
Clinical Psychologist1
1 other specialty1

Nearest to this location (20)

See all 319
Kari Allen, RN, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1265737647
3001 BROADWAY ST NE STE 120
Minneapolis, MN 55413
(612) 871-1145
✔ PECOS✔ Accepts MedicareSame address
Deepali Mude, M.D.
Anesthesiology
NPI 1710122213
3001 BROADWAY ST NE
Minneapolis, MN 55413
(612) 871-1145
✔ PECOS✔ Accepts MedicareSame address
Kristin Borovsky, M.D.
Pediatric Medicine
NPI 1144761578
3001 BROADWAY ST NE STE 120
Minneapolis, MN 55413
(612) 871-1145
✔ PECOS✔ Accepts MedicareSame address
Betsy Ellingson, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1457479495
3001 BROADWAY ST NE STE 500
Minneapolis, MN 55413
(128) 711-1456
✔ PECOS✔ Accepts MedicareSame address
Kristin Frericks, APRN, CPNP
Nurse Practitioner
NPI 1487385860
3001 BROADWAY ST NE STE 120
Minneapolis, MN 55413
(612) 871-1145
✔ PECOS✔ Accepts MedicareSame address
Krista Germain, APRN
Nurse Practitioner
NPI 1275928368
3001 BROADWAY ST NE STE 120
Minneapolis, MN 55413
(612) 871-1145
✔ PECOSSame address
Glenn Gourley, M.D.
Gastroenterology
NPI 1689606287
3001 BROADWAY ST NE STE 500
Minneapolis, MN 55413
(612) 871-1145
✔ PECOSSame address
Pamela Puthoor, MD
Pediatric Medicine
NPI 1356504120
3001 BROADWAY ST NE STE 120
Minneapolis, MN 55413
(612) 871-1145
✔ PECOS✔ Accepts MedicareSame address
Gregory Simelgor
Anesthesiology
NPI 1548372840
3001 BROADWAY ST NE STE 500
Minneapolis, MN 55413
(612) 871-1145
✔ PECOS✔ Accepts MedicareSame address
Boris Sudel, MD
Gastroenterology
NPI 1336349778
3001 BROADWAY ST NE STE 120
Minneapolis, MN 55413
(612) 871-1145
✔ PECOS✔ Accepts MedicareSame address
Jessica Ulrich, MD
Pediatric Medicine
NPI 1114419314
3001 BROADWAY ST NE STE 120
Minneapolis, MN 55413
(612) 871-1145
✔ PECOS✔ Accepts MedicareSame address
Shelby Wills
Nurse Practitioner
NPI 1184292153
3001 BROADWAY ST NE STE 500
Minneapolis, MN 55413
(651) 871-1145
✔ PECOS✔ Accepts MedicareSame address
Megan Rollman
Registered Dietitian or Nutrition Professional
NPI 1477444636
3011 BROADWAY ST NE SUITE 120
Minneapolis, MN 55413
(612) 871-1145
0.1 mi
Kaycie Lindeman, RDN, LD
Registered Dietitian or Nutrition Professional
NPI 1215325402
2855 ANTHONY LN S STE 125
St Anthony, MN 55418
(612) 360-6225
1.4 mi
Tyson Sievers, M.D.
Gastroenterology
NPI 1457795775
406 HARVARD ST SE MMC 36
Minneapolis, MN 55455
(612) 625-8999
✔ PECOS✔ Accepts Medicare2.0 mi
Owen Elzen
Certified Registered Nurse Anesthetist (CRNA)
NPI 1962674093
420 DELAWARE ST SE
Minneapolis, MN 55455
(612) 273-3000
✔ PECOS✔ Accepts Medicare2.0 mi
Neil Phelan, M.D.
Internal Medicine
NPI 1013990076
2550 UNIVERSITY AVE WEST SUITE 423 SOUTH
St Paul, MN 55114
(612) 870-5557
✔ PECOS✔ Accepts Medicare2.5 mi
Sundeep Arora, M.D.
Pediatric Medicine
NPI 1770649626
2550 UNIVERSITY AVE W SUITE 423 SOUTH
Saint Paul, MN 55114
(612) 871-1145
✔ PECOS✔ Accepts Medicare2.5 mi
Michelle Bjork, CNP
Nurse Practitioner
NPI 1194752675
2550 UNIVERSITY AVE W SUITE 423 SOUTH
St Paul, MN 55114
(612) 870-5557
✔ PECOS✔ Accepts Medicare2.5 mi
David Griver, MD
Anesthesiology
NPI 1720083405
2550 UNIVERSITY AVE W STE 423
Saint Paul, MN 55114
(612) 871-1145
✔ PECOS✔ Accepts Medicare2.5 mi
See all 319 clinicians

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 5

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 Accreditation 24D1061742

Mngi Digestive Health · Minneapolis, MN
Active · expires Mar 17, 2027
CLIA Number24D1061742
Laboratory TypePhysician Office
Certificate Effective DateMarch 18, 2025
Certificate Expiration DateMarch 17, 2027
Laboratory DirectorDr. Lawrence J. Burgart
Laboratory Phone(612) 272-0687
Laboratory LocationMngi Digestive Health3001 Broadway Street NE, Minneapolis, MN 55413
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 24D1002391

Mngi Digestive Health · Coon Rapids, MN
Active · expires Aug 5, 2028
CLIA Number24D1002391
Laboratory TypePhysician Office
Certificate Effective DateAugust 6, 2026
Certificate Expiration DateAugust 5, 2028
Laboratory DirectorIrfan Sandozi
Laboratory Phone(612) 871-1145
Laboratory LocationMngi Digestive Health9145 Springbrook Drive 2nd Floor Suite 200, Coon Rapids, MN 55433
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D1078034

Mngi Digestive Health · Bloomington, MN
Active · expires Dec 26, 2027
CLIA Number24D1078034
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 27, 2025
Certificate Expiration DateDecember 26, 2027
Laboratory DirectorElizabeth Fallon
Laboratory Phone(612) 871-1145
Laboratory LocationMngi Digestive Health5705 West Old Shakopee Road Suite 150, Bloomington, MN 55437
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D1100221

Mngi Digestive Health · Bloomington, MN
Active · expires Jun 1, 2027
CLIA Number24D1100221
Laboratory TypePhysician Office
Certificate Effective DateJune 2, 2025
Certificate Expiration DateJune 1, 2027
Laboratory DirectorElizabeth Fallon
Laboratory Phone(612) 871-1145
Laboratory LocationMngi Digestive Health5705 West Old Shakopee Rd, Suite 150, Bloomington, MN 55437
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2124624

Mngi Digestive Health · Minneapolis, MN
Active · expires Jan 22, 2027
CLIA Number24D2124624
Laboratory TypePhysician Office
Certificate Effective DateJanuary 23, 2025
Certificate Expiration DateJanuary 22, 2027
Laboratory DirectorEmily Kevan
Laboratory Phone(612) 870-5500
Laboratory LocationMngi Digestive Health3001 Broadway Street NE Suite 120, Minneapolis, MN 55413
CLIA data matches this NPI record on: Name
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 Mngi Digestive Health, P.A.'s NPI number?

The NPI number for Mngi Digestive Health, P.A. is 1609804541. It was assigned to this organization in the NPPES registry on June 29, 2006.

Where is Mngi Digestive Health, P.A. located?

Mngi Digestive Health, P.A. is located at 3001 Broadway St NE Ste 500, Minneapolis, MN 55413. The listed phone number is (612) 871-1145.

What is Mngi Digestive Health, P.A.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Mngi Digestive Health, P.A. enrolled in Medicare?

Yes. Mngi Digestive Health, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mngi Digestive Health, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 319 clinicians in 9 Medicare specialties reassign their Medicare billing to Mngi Digestive Health, P.A.. 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. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (140), Gastroenterology (102) and Nurse Practitioner (28). Of these, 12 practice at this address and 190 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mngi Digestive Health, P.A. hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Mngi Digestive Health, P.A. accept?

Health plans from Anthem Blue Cross and Blue Shield and HealthPartners list Mngi Digestive Health, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mngi Digestive Health, P.A. was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.