DR. JESSICA EILEEN STUMPHY M.D. NPI 1104051721

NPI Information

  • NPI: 1104051721
  • Provider Name: DR. JESSICA EILEEN STUMPHY, M.D.
  • Classification: Pediatrics - 2080P0206X
  • Specialization: Pediatric Gastroenterology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2450 RIVERSIDE AVE
    EAST BUILDING, 6TH FLOOR, 8952C
    MINNEAPOLIS, MN
    ZIP 55454
  • Phone: (612) 624-1133

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NPI Details

DR. Jessica Eileen Stumphy, M.D. is a pediatric gastroenterology pediatrics in Minneapolis, MN with 17 years of experience. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. DR. Jessica Eileen Stumphy, M.D. NPI is 1104051721. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduation Year:2009

The provider's business location address is:

2450 RIVERSIDE AVE
EAST BUILDING, 6TH FLOOR, 8952C
MINNEAPOLIS, MN
ZIP 55454-450
Phone: (612) 624-1133
Fax: (612) 626-0639

The NPI 1104051721 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)

The enumeration date for this NPI number is 5/27/2009 and was last updated on 7/8/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsMD-40199IOWANo
22080P0206XPediatricsPediatric Gastroenterology108249MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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