MNGI ENDOSCOPY ASC INC
NPI 1669496345
Clinic/Center - Ambulatory Surgical in Minneapolis, MN

NPI Status: Active since July 27, 2006

Contact Information

3001 BROADWAY ST NE STE 500
MINNEAPOLIS, MN
ZIP 55413
Phone: (612) 871-1145
Fax: (612) 870-5491

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 24D2279177
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 03-29-2027

About MNGI ENDOSCOPY ASC INC

This page provides the complete NPI Profile along with additional information for Mngi Endoscopy Asc Inc, a provider established in Minneapolis, Minnesota operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1669496345 assigned on July 2006. The practitioner's primary taxonomy code is 261QA1903X with license number PENDING (MN). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Scott Ketover Md (President)

NPI
1669496345
Provider Name
MNGI ENDOSCOPY ASC INC
Entity Type
Organization
Location Address
3001 BROADWAY ST NE STE 500 MINNEAPOLIS, MN 55413
Location Phone
(612) 871-1145
Location Fax
(612) 870-5491
Mailing Address
PO BOX 14909 MINNEAPOLIS, MN 55414
Mailing Phone
(612) 871-1145
Mailing Fax
(612) 870-5491
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-27-2006
Last Update Date
04-02-2024
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Location Map

Secondary Locations

  • 18465 Orchard Trl Ste 300
    Lakeville, MN 55044
    (612) 871-1145
  • 15700 37th Ave N Ste 300
    Plymouth, MN 55446
    (612) 871-1145
  • 1185 Town Centre Dr Ste 200
    Eagan, MN 55123
    (612) 871-1145
  • 9145 Springbrook Dr NW Ste 300
    Coon Rapids, MN 55433
    (612) 871-1145
  • 237 Radio Dr Ste 200
    Woodbury, MN 55125
    (612) 871-1145
  • 5705 W Old Shakopee Rd Ste 150
    Bloomington, MN 55437
    (612) 871-1145

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 Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
PENDING
License State
MN

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

SCOTT KETOVER MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(612) 871-1145

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

This service was performed 74 times for 69 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

This service was performed 1,404 times for 1,339 patients

Biopsy of large bowel using a flexible endoscope

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

This service was performed 1,776 times for 1,773 patients

Biopsy of lower large bowel using a flexible endoscope

A biopsy of the lower large bowel involves using a flexible tube with a camera (endoscope) to examine this part of your digestive tract. Small tissue samples may be taken for further examination to detect any abnormalities.

This service was performed 66 times for 64 patients

Colorectal cancer screening; colonoscopy on individual at high risk

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

This service was performed 424 times for 422 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

This service was performed 241 times for 239 patients

Destruction of polyp or growth of esophagus using a flexible endoscope

This procedure involves the use of a flexible endoscope, a thin tube with a light and camera, to detect and remove growths or polyps in the esophagus. It's a minimally invasive method that helps maintain healthy digestion and prevent potential complications.

This service was performed 41 times for 29 patients

Diagnostic exam of esophagus using a flexible endoscope through mouth

This procedure, known as an esophagogastroduodenoscopy (EGD), involves inserting a flexible tube with a camera through the mouth to examine the esophagus. It helps doctors diagnose issues like inflammation, ulcers, or other abnormalities. It's a safe, usually painless process.

This service was performed 13 times for 12 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

This service was performed 241 times for 235 patients

Diagnostic exam of large bowel using a flexible endoscope

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

This service was performed 113 times for 112 patients

Diagnostic exam of lower portion of large bowel using a flexible endoscope

This procedure, known as a sigmoidoscopy, involves using a flexible tube with a camera to examine the lower part of your large bowel. It helps in identifying issues like inflammation, ulcers, or abnormal growths. It's a safe, minimally invasive procedure.

This service was performed 40 times for 40 patients

Dilation of esophagus

Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.

This service was performed 71 times for 70 patients

Injection beneath lining of large bowel using a flexible endoscope

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

This service was performed 92 times for 92 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

This service was performed 151 times for 148 patients

Monitoring and recording of esophageal function through a capsule attached to the esophagus wall

This procedure involves a small capsule being attached to your esophagus wall. It measures and records how your esophagus is functioning, helping to identify any potential issues. You won't feel the capsule and it will pass naturally through your system after a few days.

This service was performed 19 times for 19 patients

Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare

This procedure involves the use of a thin, flexible instrument called an endoscope to visualize and remove abnormal growths, known as polyps, from the esophagus, stomach, or upper small bowel. A tool called a mechanical snare is used to safely cut and remove these growths.

This service was performed 33 times for 33 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

This service was performed 2,946 times for 2,930 patients

Tying of dilated veins of stomach and/or esophagus using a flexible endoscope

This procedure involves using a flexible tube (endoscope) to view and tie off enlarged veins in the stomach or esophagus. This helps prevent bleeding from these veins, which can occur due to certain conditions like liver disease.

This service was performed 17 times for 14 patients

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
24D2279177
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
March 30, 2025
Certificate Expiration Date
March 29, 2027
Laboratory Director
SAJAN NAGPAL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mngi Endoscopy Asc Inc 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 1669496345, 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 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 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
6
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
4
Doubled → 8
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
3
Unchanged
Pos 9
4
Doubled → 8
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 6 → 12 → 3 4 → 8 6 → 12 → 3 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 2 + 9 + 8 + 9 + 1 + 2 + 3 + 8 + 24 = 75

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

The next multiple of ten after 75 is 80. The difference is the calculated check digit.

80 - 75 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1669496345.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Pediatrics (Pediatric Gastroenterology)
3001 BROADWAY ST NE STE 500
MINNEAPOLIS, MN 55413
Physician Assistant (Medical)
3001 BROADWAY ST NE STE 500
MINNEAPOLIS, MN 55413
Nurse Anesthetist, Certified Registered
3001 BROADWAY ST NE STE 500
MINNEAPOLIS, MN 55413
Nurse Practitioner
3001 BROADWAY ST NE STE 500
MINNEAPOLIS, MN 55413
Anesthesiology
3001 BROADWAY ST NE STE 500
MINNEAPOLIS, MN 55413
Nurse Anesthetist, Certified Registered
3001 BROADWAY ST NE STE 500
MINNEAPOLIS, MN 55413
Anesthesiology
3001 BROADWAY ST NE STE 500
MINNEAPOLIS, MN 55413
Registered Nurse (Ambulatory Care)
3001 BROADWAY ST NE STE 500
MINNEAPOLIS, MN 55413
Registered Nurse (Gastroenterology)
3001 BROADWAY ST NE STE 500
MINNEAPOLIS, MN 55413
Registered Nurse
3001 BROADWAY ST NE STE 500
MINNEAPOLIS, MN 55413
Internal Medicine (Gastroenterology)
3001 BROADWAY ST NE STE 500
MINNEAPOLIS, MN 55413

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669496345, enumerated as an "organization" on July 27, 2006.

The provider is located at 3001 BROADWAY ST NE STE 500 MINNEAPOLIS, MN 55413 and the phone number is (612) 871-1145.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

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