MINNESOTA VASCULAR SURGERY CENTER NPI 1568503845

NPI Information

  • NPI: 1568503845
  • Provider Name: MINNESOTA VASCULAR SURGERY CENTER
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 24D2264138
  • Address: 600 COUNTY ROAD D
    NEW BRIGHTON, MN
    ZIP 55112
  • Phone: (763) 432-4300

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NPI Details

MINNESOTA VASCULAR SURGERY CENTER is an ambulatory surgical clinic center in New Brighton, MN. MINNESOTA VASCULAR SURGERY CENTER NPI is 1568503845. The provider is registered as an organization entity type.

The provider's business location address is:

600 COUNTY ROAD D
NEW BRIGHTON, MN
ZIP 55112-519
Phone: (763) 432-4300
Fax: (763) 432-4301

The provider's authorized official is Lisa G. Norby .
The authorized official title is Executive Assistant/credentialing and has the following contact phone number (763) 398-2203.

The CLIA number assigned to this NPI record is 24D2264138 - other - private research clinical with a certificate type of Certificate of Waiver.

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.

  • Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist (HCPCS:36902)
  • Insertion of needle and/or tube into hemodialysis circuit with review by radiologist (HCPCS:36901)
  • Removal of tunneled central venous tube (HCPCS:36589)
  • Relocation of arm vein with connection to arm artery for hemodialysis (HCPCS:36821)
  • Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
  • Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube (HCPCS:36905)
  • Revision of hemodialysis graft (HCPCS:36832)
  • Replacement of tunneled central venous tube (HCPCS:36581)
  • Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist (HCPCS:36903)
  • Insertion of abdominal tube using imaging guidance with review by radiologist (HCPCS:49418)
  • Creation of artery-vein connection using tube graft for hemodialysis (HCPCS:36830)
  • Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist (HCPCS:36906)

The enumeration date for this NPI number is 2/9/2007 and was last updated on 12/17/2012.

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
1261QA1903XClinic/CenterAmbulatory SurgicalPENDINGMINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1490000064MEDICARE UPIN
2508958000MEDICAIDMINNESOTA

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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