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SPECIALISTS IN GENERAL SURGERY
NPI 1780649665
Specialist in Maple Grove, MN

Active since April 20, 2006
9825 HOSPITAL DR, SUITE 105, MAPLE GROVE, MN 55369(763) 780-6699(763) 420-0506 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Specialists In General Surgery NPPES

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

SPECIALISTS IN GENERAL SURGERY (NPI 1780649665) is a healthcare organization registered as a specialist in Maple Grove, Minnesota and active in the NPI registry since April 2006. The organization lists Adrianne Bowen, President, as its authorized official.

NPPES Registry Identity

NPI1780649665
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSPECIALISTS IN GENERAL SURGERY, LTD
Location Address9825 HOSPITAL DR, SUITE 105Maple Grove, MN 55369-4479
Mailing Address9825 Hospital Dr, Suite 105Maple Grove, MN 55369-4479 · (763) 780-6699 · Fax (763) 420-0506
Phone(763) 780-6699
Fax(763) 420-0506
Organization SubpartNo
Authorized OfficialAdrianne BowenPresident · (763) 780-6699
Enumeration DateApril 20, 2006
Last NPPES UpdateApril 10, 2023
NPPES CertifiedApril 10, 2023
✔ NPI 1780649665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MN · 551
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
9825 HOSPITAL DR, Maple Grove, MN 55369
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Other Names 1

Doing Business AsSpecialists In General Surgery

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 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)

Specialists In General Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Specialists In General Surgery, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 12 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

General Surgery11
Nurse Practitioner1

Clinicians, nearest first (12)

Elizabeth Becker, NP
Nurse Practitioner
NPI 1255744694
9825 HOSPITAL DR SUITE 105
Maple Grove, MN 55369
(763) 780-6699
✔ PECOS✔ Accepts MedicareSame address
Adrianne Bowen, MD
General Surgery
NPI 1114065711
9825 HOSPITAL DR STE 105
Maple Grove, MN 55369
(763) 780-6699
✔ PECOS✔ Accepts MedicareSame address
Jonathan Gipson, M.D.
General Surgery
NPI 1194705566
9825 HOSPITAL DR STE 105
Maple Grove, MN 55369
(763) 780-6699
✔ PECOS✔ Accepts MedicareSame address
Kamrun Jenabzadeh, M.D.
General Surgery
NPI 1558532606
9825 HOSPITAL DR STE 105
Maple Grove, MN 55369
(763) 780-6699
✔ PECOS✔ Accepts MedicareSame address
Kourtney Kemp, M.D.
General Surgery
NPI 1992960207
9825 HOSPITAL DR STE 105
Maple Grove, MN 55369
(763) 780-6699
✔ PECOS✔ Accepts MedicareSame address
Steven Kern, MD
General Surgery
NPI 1922073428
9825 HOSPITAL DR STE 105
Maple Grove, MN 55369
(763) 780-6699
✔ PECOS✔ Accepts MedicareSame address
Matthew Kissner, MD
General Surgery
NPI 1720053226
9825 HOSPITAL DR STE 105
Maple Grove, MN 55369
(763) 780-6699
✔ PECOS✔ Accepts MedicareSame address
Sarah Lippert, MD
General Surgery
NPI 1407003205
9825 HOSPITAL DR STE 105
Maple Grove, MN 55369
(763) 780-6699
✔ PECOS✔ Accepts MedicareSame address
Corey Stennes, MD
General Surgery
NPI 1164695581
9825 HOSPITAL DR STE 105
Maple Grove, MN 55369
(763) 780-6699
✔ PECOS✔ Accepts MedicareSame address
Rachel Tay, M.D.
General Surgery
NPI 1275761827
9825 HOSPITAL DR STE 105
Maple Grove, MN 55369
(763) 780-6699
✔ PECOS✔ Accepts MedicareSame address
Munyaradzi Chimukangara, MD
General Surgery
NPI 1437417763
9825 HOSPITAL DR STE 105
Maple Grove, MN 55369
(763) 780-6699
✔ PECOS✔ Accepts MedicareSame address
Mallory Yelenich-Huss, M.D.
General Surgery
NPI 1144648643
11850 BLACKFOOT ST NW STE 1
Coon Rapids, MN 55433
(763) 236-9000
✔ PECOS✔ Accepts Medicare6.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Specialists In General Surgery, Ltd's NPI number?

The NPI number for Specialists In General Surgery, Ltd is 1780649665. It was assigned to this organization in the NPPES registry on April 20, 2006. The provider is doing business as Specialists In General Surgery.

Where is Specialists In General Surgery, Ltd located?

Specialists In General Surgery, Ltd is located at 9825 Hospital Dr Suite 105, Maple Grove, MN 55369. The listed phone number is (763) 780-6699.

What is Specialists In General Surgery, Ltd's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Specialists In General Surgery, Ltd enrolled in Medicare?

Yes. Specialists In General Surgery, Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Specialists In General Surgery, Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Specialists In General Surgery, Ltd. 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 General Surgery (11) and Nurse Practitioner (1). Of these, 11 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Specialists In General Surgery, Ltd accept?

Health plans from HealthPartners list Specialists In General Surgery, Ltd 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 Specialists In General Surgery, Ltd was last updated on April 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.