MINNESOTA ONCOLOGY HEMATOLOGY PA
NPI 1790494318
Internal Medicine - Hematology & Oncology in Maple Grove, MN

Active since November 22, 2022CLIA 24D2272467 · Accreditation
10150 NIAGARA LN N STE 100, MAPLE GROVE, MN 55369(844) 317-4673 Get Directions Write a Review

NPPES record last updated: November 22, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Minnesota Oncology Hematology Pa NPPES

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

MINNESOTA ONCOLOGY HEMATOLOGY PA (NPI 1790494318) is a healthcare organization registered as a hematology & oncology in Maple Grove, Minnesota and active in the NPI registry since November 2022. The organization holds an CLIA Accreditation certificate valid through November 6, 2027 and lists Amy Stoffel, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1790494318
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameMINNESOTA ONCOLOGY HEMATOLOGY PA
Location Address10150 NIAGARA LN N STE 100Maple Grove, MN 55369-7588
Mailing Address2550 University Ave W Ste 110nSaint Paul, MN 55114-8693 · (651) 602-5312
Organization SubpartNo
Authorized OfficialAmy StoffelBusiness Office Manager · (651) 602-5335
Enumeration DateNovember 22, 2022
NPPES CertifiedNovember 22, 2022
✔ NPI 1790494318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
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
Also ListedGenetic Counselor, MSTaxonomy 170300000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X
Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X
10150 NIAGARA LN N STE 100, Maple Grove, MN 55369

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Minnesota Oncology Hematology Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

127

Medicare enrollment records show 127 clinicians reassign Medicare billing to Minnesota Oncology Hematology PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 27 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 14

Nurse Practitioner41
Medical Oncology22
Colorectal Surgery (Proctology)16
Hematology/Oncology14
Gynecological Oncology11
General Surgery5
Radiation Oncology5
Registered Dietitian or Nutrition Professional3
6 other specialties10

Nearest to this location (20)

See all 127
Nurse Practitioner
NPI 1932960291
10150 NIAGARA LN N STE 100
Maple Grove, MN 55369
(763) 712-2100
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1003597220
10150 NIAGARA LN N # 100
Maple Grove, MN 55369
(763) 712-2100
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1588033229
10150 NIAGARA LN N STE 100
Maple Grove, MN 55369
(763) 712-2100
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1407364565
10150 NIAGARA LN N STE 100
Maple Grove, MN 55369
(763) 297-9700
✔ PECOS✔ Accepts Medicare1.0 mi
Hematology/Oncology
NPI 1053870147
10150 NIAGARA LN N STE 100
Maple Grove, MN 55369
(763) 297-9700
✔ PECOS✔ Accepts Medicare1.0 mi
Registered Dietitian or Nutrition Professional
NPI 1497701601
3960 COON RAPIDS BLVD NW SUITE 311
Coon Rapids, MN 55433
(763) 712-2100
6.5 mi
Gynecological Oncology
NPI 1750470696
11850 BLACKFOOT ST NW SUITE 100
Coon Rapids, MN 55433
(763) 721-2100
✔ PECOS✔ Accepts Medicare6.5 mi
Medical Oncology
NPI 1104836154
11850 BLACKFOOT ST NW SUITE 100
Coon Rapids, MN 55433
(763) 721-2100
✔ PECOS6.5 mi
Medical Oncology
NPI 1134241391
11850 BLACKFOOT ST NE SUITE 100
Coon Rapids, MN 55433
(763) 712-2100
✔ PECOS✔ Accepts Medicare6.5 mi
Medical Oncology
NPI 1083706964
11850 BLACKFOOT NW SUITE 100
Coon Rapids, MN 55433
(763) 721-2100
✔ PECOS✔ Accepts Medicare6.5 mi
Medical Oncology
NPI 1346254430
11850 BLACKFOOT ST NW STE 100
Coon Rapids, MN 55433
(763) 712-2100
✔ PECOS✔ Accepts Medicare6.5 mi
Nurse Practitioner
NPI 1386458131
11850 BLACKFOOT ST NW STE 100
Coon Rapids, MN 55433
(763) 712-2100
✔ PECOS✔ Accepts Medicare6.5 mi
Gynecological Oncology
NPI 1760973176
11850 BLACKFOOT ST NW STE 100
Coon Rapids, MN 55433
(763) 712-2100
✔ PECOS✔ Accepts Medicare6.5 mi
Colorectal Surgery (Proctology)
NPI 1487617593
11850 BLACKFOOT ST NW STE 270
Coon Rapids, MN 55433
(651) 312-1717
✔ PECOS✔ Accepts Medicare6.5 mi
Nurse Practitioner
NPI 1407607229
11850 BLACKFOOT ST NW STE 100
Coon Rapids, MN 55433
(763) 712-2100
✔ PECOS✔ Accepts Medicare6.5 mi
Nurse Practitioner
NPI 1467021816
11850 BLACKFOOT ST NW STE 100
Coon Rapids, MN 55433
(763) 712-2100
✔ PECOS✔ Accepts Medicare6.6 mi
Hematology/Oncology
NPI 1780041301
11850 BLACKFOOT ST NW STE 100
Coon Rapids, MN 55433
(763) 712-2100
✔ PECOS✔ Accepts Medicare6.6 mi
Colorectal Surgery (Proctology)
NPI 1598876823
11850 BLACKFOOT ST NW SUITE 270
Coon Rapids, MN 55433
(651) 312-1717
✔ PECOS✔ Accepts Medicare6.6 mi
Hematology/Oncology
NPI 1235221110
11850 BLACKFOOT ST NW STE 300
Coon Rapids, MN 55433
(763) 236-0808
✔ PECOS✔ Accepts Medicare6.6 mi
Gynecological Oncology
NPI 1326204942
11850 BLACKFOOT ST NW STE 100
Coon Rapids, MN 55433
(763) 712-2100
✔ PECOS✔ Accepts Medicare6.6 mi
See all 127 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

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 24D2272467

Minnesota Oncology - Maple Grove · Maple Grove, MN
Active · expires Nov 6, 2027
CLIA Number24D2272467
Laboratory TypePhysician Office
Certificate Effective DateNovember 7, 2025
Certificate Expiration DateNovember 6, 2027
Laboratory DirectorDr. Girum Lemma
Laboratory Phone(651) 602-5359
Laboratory LocationMinnesota Oncology - Maple Grove10150 Niagara Ln N, Suite 100, Maple Grove, MN 55369
CLIA data matches this NPI record on: Address
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.

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 Minnesota Oncology Hematology PA's NPI number?

The NPI number for Minnesota Oncology Hematology PA is 1790494318. It was assigned to this organization in the NPPES registry on November 22, 2022.

Where is Minnesota Oncology Hematology PA located?

Minnesota Oncology Hematology PA is located at 10150 Niagara Ln N Ste 100, Maple Grove, MN 55369. The listed phone number is (844) 317-4673.

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.

Is Minnesota Oncology Hematology PA enrolled in Medicare?

Yes. Minnesota Oncology Hematology PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Minnesota Oncology Hematology PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 127 clinicians in 14 Medicare specialties reassign their Medicare billing to Minnesota Oncology Hematology PA. 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 Nurse Practitioner (41), Medical Oncology (22) and Colorectal Surgery (Proctology) (16). Of these, 3 practice at this address and 27 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Minnesota Oncology Hematology PA hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 24D2272467) is associated with this NPI, valid through November 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Minnesota Oncology Hematology PA was last updated on November 22, 2022. 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.