MEDICARE: MNGI DIGESTIVE HEALTH, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	593	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609804541
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MNGI DIGESTIVE HEALTH, P.A.

Provider Business Mailing Address
First Line	:	PO BOX 14909
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55414-0909
Country	:	US
Telephone Number	:	612-871-1145
Fax Number	:	612-870-5491

Provider Business Practice Location Address
First Line	:	3001 BROADWAY ST NE STE 500
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55413
Country	:	US
Telephone Number	:	612-871-1145
Fax Number	:	612-870-5491

Authorized Official
Title or Position	:	SENIOR BUSINESS OFFICE ANALYST
Name	:	GAYLE M PETERSON
Credential	:	CPCS
Telephone Number	:	612-870-5557

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	06/25/2026

Similar Medicare Providers

1700712486 — JOSEPH EARL DUCHENE
Practice Location Address:

1730 NEW BRIGHTON BLVD
MINNEAPOLIS, MN
55413-1248

Practice Phone: 952-891-1167
Practice Fax:

1881524551 — LOVING EMBRACE COUNSELING AND WELLNESS LLC
Practice Location Address:

1400 VAN BUREN ST NE
MINNEAPOLIS, MN
55413-4605

Practice Phone: 651-203-8966
Practice Fax: 651-203-8966

1467117234 — NASRO HARED
Practice Location Address:

2021 E HENNEPIN AVE STE LL20
MINNEAPOLIS, MN
55413-2738

Practice Phone: 612-259-7711
Practice Fax:

1679469316 — ANITA F TAPIO CHW
Practice Location Address:

1121 JACKSON ST NE
MINNEAPOLIS, MN
55413-1672

Practice Phone: 612-353-6293
Practice Fax:

1780519462 — DANIELLE CALDERONI
Practice Location Address:

3001 BROADWAY ST NE
MINNEAPOLIS, MN
55413-2195

Practice Phone: 612-871-1145
Practice Fax:

1811823941 — MS. SARAIYA JENNIFER PIANTEK
Practice Location Address:

1121 JACKSON ST NE STE 100
MINNEAPOLIS, MN
55413-3051

Practice Phone: 218-216-3052
Practice Fax:

Directions to “MNGI DIGESTIVE HEALTH, P.A. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.