MNGI ENDOSCOPY ASC INC NPI 1669496345

NPI Information

  • NPI: 1669496345
  • Provider Name: MNGI ENDOSCOPY ASC INC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 24D2279177
  • Address: 3001 BROADWAY ST NE STE 500
    MINNEAPOLIS, MN
    ZIP 55413
  • Phone: (612) 871-1145

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NPI Details

MNGI ENDOSCOPY ASC INC is an ambulatory surgical clinic center in Minneapolis, MN. MNGI ENDOSCOPY ASC INC NPI is 1669496345. The provider is registered as an organization entity type.

The provider's business location address is:

3001 BROADWAY ST NE STE 500
MINNEAPOLIS, MN
ZIP 55413
Phone: (612) 871-1145
Fax: (612) 870-5491

The provider's authorized official is Scott Ketover .
The authorized official title is President and has the following contact phone number (612) 871-1145.

The CLIA number assigned to this NPI record is 24D2279177 - ambulatory surgery center 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.

  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)
  • Biopsy of lower large bowel using a flexible endoscope (HCPCS:45331)
  • Dilation of esophagus (HCPCS:43450)
  • Diagnostic exam of lower portion of large bowel using a flexible endoscope (HCPCS:45330)
  • Destruction of polyp or growth of esophagus using a flexible endoscope (HCPCS:43229)
  • Destruction of polyp or growth of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43270)
  • Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare (HCPCS:43251)
  • Monitoring and recording of esophageal function through a capsule attached to the esophagus wall (HCPCS:91035)
  • Tying of dilated veins of stomach and/or esophagus using a flexible endoscope (HCPCS:43244)

The enumeration date for this NPI number is 7/27/2006 and was last updated on 4/2/2024.

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

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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