MINNESOTA ONCOLOGY HEMATOLOGY PA
NPI 1790494318
Internal Medicine - Hematology & Oncology in Maple Grove, MN
NPI Status: Active since November 22, 2022
Contact Information
10150 NIAGARA LN N STE 100
MAPLE GROVE, MN
ZIP 55369
Phone: (844) 317-4673
- Organization
- Internal Medicine
- Hematology & Oncology
- CLIA Number: 24D2272467
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-06-2027
About MINNESOTA ONCOLOGY HEMATOLOGY PA
This page provides the complete NPI Profile along with additional information for Minnesota Oncology Hematology Pa, an internist established in Maple Grove, Minnesota operating as a Internal Medicine, focusing in hematology & oncology . The healthcare provider is registered in the NPI registry with number 1790494318 assigned on November 2022. The practitioner's primary taxonomy code is 207RH0003X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Minnesota Oncology Hematology Pa operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Amy Stoffel (Business Office Manager)
- NPI
- 1790494318
- Provider Name
- MINNESOTA ONCOLOGY HEMATOLOGY PA
- Entity Type
- Organization
- Location Address
- 10150 NIAGARA LN N STE 100 MAPLE GROVE, MN 55369
- Location Phone
- (844) 317-4673
- Mailing Address
- 2550 UNIVERSITY AVE W STE 110N SAINT PAUL, MN 55114
- Mailing Phone
- (651) 602-5312
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-22-2022
- Last Update Date
- 11-22-2022
- Code Navigator
An internist like Minnesota Oncology Hematology Pa is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
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
Internal Medicine Hematology & Oncology
- Taxonomy Code
- 207RH0003X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | |
| 2 | 170300000X | Other Service Providers | Genetic Counselor, MS | |
| 3 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 4 | 207RH0000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 5 | 207RX0202X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 6 | 207VX0201X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 7 | 2085R0001X | Allopathic & Osteopathic Physicians | Radiology | |
| 8 | 208G00000X | Allopathic & Osteopathic Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 9 | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 10 | 363AS0400X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 11 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 12 | 363LA2200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 13 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 14 | 363LG0600X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 24D2272467
- Facility Type
- Physician Office
- Certificate Effective Date
- November 07, 2025
- Certificate Expiration Date
- November 06, 2027
- Laboratory Director
- DR. GIRUM LEMMA
- 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 1790494318, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 72 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
MAPLE GROVE, MN 55369
MAPLE GROVE, MN 55369
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790494318, enumerated as an "organization" on November 22, 2022.
The provider is located at 10150 NIAGARA LN N STE 100 MAPLE GROVE, MN 55369 and the phone number is (844) 317-4673.
Internal Medicine with taxonomy code 207RH0003X and a focus in Hematology & Oncology.
