MNGI ENDOSCOPY ASC INC – Ambulatory Surgical Clinic/Center, NPI 1669496345
Ambulatory Surgical Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MNGI ENDOSCOPY ASC INC
1185 Town Centre Dr Ste 200
Eagan, MN 551231343
Phone: (612) 871-1145
Fax: (612) 870-5491
Type: Location
18465 Orchard Trl Ste 300
Lakeville, MN 550442522
Phone: (612) 871-1145
Fax: (612) 870-5491
Type: Location
15700 37th Ave N Ste 300
Plymouth, MN 554463661
Phone: (612) 871-1145
Fax: (612) 870-5491
Type: Location
9145 Springbrook Dr NW Ste 300
Coon Rapids, MN 554335897
Phone: (612) 871-1145
Fax: (612) 870-5491
Type: Location
237 Radio Dr Ste 200
Woodbury, MN 551254478
Phone: (612) 871-1145
Fax: (612) 870-5491
Type: Location
5705 W Old Shakopee Rd Ste 150
Bloomington, MN 554373126
Phone: (612) 871-1145
Fax: (612) 870-5491
Type: Location
PO BOX 14909
MINNEAPOLIS, MN 554140909
Phone: (612) 871-1145
Fax: (612) 870-5491
Type: Mailing
Broadway St Ne, Northeast Washington Street, Holland, Northeast, Minneapolis, Hennepin County, Minnesota, 55418, United States
MINNEAPOLIS, MN 55413
Phone: (612) 871-1145
Fax: (612) 870-5491
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-10-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (985 days ago).
Enrollment records
6
Earliest due date
2023-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20061017000105 | O | Ambulatory Surgical Center | MN | 2024-04-30 |
| O20061017000150 | O | Ambulatory Surgical Center | MN | 2024-05-31 |
| O20061017000234 | O | Ambulatory Surgical Center | MN | 2024-06-30 |
| O20080424000336 | O | Ambulatory Surgical Center | MN | 2024-07-31 |
| O20180423000814 | O | Ambulatory Surgical Center | MN | 2023-09-30 |
| O20231031000428 | O | Ambulatory Surgical Center | MN | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 2,946 | 2,930 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 1,776 | 1,773 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 1,404 | 1,339 | $0 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 424 | 422 | $0 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 241 | 235 | $0 |
Insurance plans in this area (ZIP 55123)
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