MINNESOTA ONCOLOGY HEMATOLOGY, PA
NPI 1770123697
Radiology - Radiation Oncology in Saint Paul, MN

NPI Status: Active since January 08, 2020

Contact Information

1580 BEAM AVE
SAINT PAUL, MN
ZIP 55109
Phone: (651) 779-7978
Fax: (651) 779-7656

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  • Organization
  • Radiology
  • Radiation Oncology
  • CLIA Number: 24D0926461
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-21-2026

About MINNESOTA ONCOLOGY HEMATOLOGY, PA

This page provides the complete NPI Profile along with additional information for Minnesota Oncology Hematology, Pa, a provider established in Saint Paul, Minnesota operating as a Radiology, focusing in radiation oncology . The healthcare provider is registered in the NPI registry with number 1770123697 assigned on January 2020. The practitioner's primary taxonomy code is 2085R0001X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Joan Louise Theis (Business Office Manager)

NPI
1770123697
Provider Name
MINNESOTA ONCOLOGY HEMATOLOGY, PA
Entity Type
Organization
Location Address
1580 BEAM AVE SAINT PAUL, MN 55109
Location Phone
(651) 779-7978
Location Fax
(651) 779-7656
Mailing Address
2550 UNIVERSITY AVE W STE 110N SAINT PAUL, MN 55114
Mailing Phone
(651) 602-5335
Mailing Fax
(651) 779-7656
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-08-2020
Last Update Date
01-08-2020
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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

Radiology Radiation Oncology

Taxonomy Code
2085R0001X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

JOAN LOUISE THEIS

Authorized Official Title
BUSINESS OFFICE MANAGER
Authorized Official Phone
(651) 602-5326

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
24D0926461
Facility Type
Physician Office
Certificate Effective Date
June 22, 2024
Certificate Expiration Date
June 21, 2026
Laboratory Director
DR. GAURI G. NAGARGOJE
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Minnesota Oncology Hematology, Pa on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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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 1770123697, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
7
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
6
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
7
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 7 → 14 → 5 1 → 2 3 → 6 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 4 + 0 + 2 + 2 + 6 + 6 + 1 + 8 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1770123697.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Radiology (Radiation Oncology)
1580 BEAM AVE
MAPLEWOOD, MN 55109
Internal Medicine (Hematology & Oncology)
1580 BEAM AVE
MAPLEWOOD, MN 55109
Internal Medicine (Hematology & Oncology)
1580 BEAM AVE
MAPLEWOOD, MN 55109
Radiology (Radiation Oncology)
1580 BEAM AVE
MAPLEWOOD, MN 55109
Pharmacist (Oncology)
1580 BEAM AVE
MAPLEWOOD, MN 55109
Pharmacist (Oncology)
1580 BEAM AVE
MAPLEWOOD, MN 55109
Pharmacist
1580 BEAM AVE
MAPLEWOOD, MN 55109
Internal Medicine (Hematology & Oncology)
1580 BEAM AVE
MAPLEWOOD, MN 55109
Pharmacy (Clinic Pharmacy)
1580 BEAM AVE
MAPLEWOOD, MN 55109
Pharmacist
1580 BEAM AVE
MAPLEWOOD, MN 55109
Internal Medicine (Hematology & Oncology)
1580 BEAM AVE
MAPLEWOOD, MN 55109
Nurse Practitioner
1580 BEAM AVE
MAPLEWOOD, MN 55109
Radiology (Radiation Oncology)
1580 BEAM AVE
MAPLEWOOD, MN 55109
Physician Assistant
1580 BEAM AVE
MAPLEWOOD, MN 55109
Internal Medicine (Hematology & Oncology)
1580 BEAM AVE
MAPLEWOOD, MN 55109
Physician Assistant (Medical)
1580 BEAM AVE
MAPLEWOOD, MN 55109
Nurse Practitioner
1580 BEAM AVE
MAPLEWOOD, MN 55109
Nurse Practitioner (Adult Health)
1580 BEAM AVE
MAPLEWOOD, MN 55109
Nurse Practitioner (Family)
1580 BEAM AVE
MAPLEWOOD, MN 55109
Physician Assistant
1580 BEAM AVE
MAPLEWOOD, MN 55109

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770123697, enumerated as an "organization" on January 08, 2020.

The provider is located at 1580 BEAM AVE SAINT PAUL, MN 55109 and the phone number is (651) 779-7978.

Radiology with taxonomy code 2085R0001X and a focus in Radiation Oncology.