DR. MIRNA GEORGES BOUMITRI M.D.
NPI 1053580092
Internal Medicine - Nephrology in Minneapolis, MN

Active since February 25, 2008PECOS EnrolledAccepts Medicare Assignment
516 DELAWARE ST SE, CLINIC 2A, MINNEAPOLIS, MN 55455(612) 626-1687 Get Directions Write a Review

NPPES record last updated: April 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mirna Georges Boumitri M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MIRNA GEORGES BOUMITRI M.D. (NPI 1053580092) is an individual nephrology provider in Minneapolis, Minnesota, licensed in Minnesota (52751) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS, is affiliated with Fairview Lakes Health Services, and is a graduate of Drexel University College Of Medicine (2005).

NPPES Registry Identity

NPI1053580092
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. MIRNA GEORGES BOUMITRICredential: M.D.
Location Address516 DELAWARE ST SE, CLINIC 2AMinneapolis, MN 55455
Mailing Address717 Delaware St Se, Mail Code 1932Minneapolis, MN 55414-2959 · (612) 624-6843 · Fax (612) 626-3840
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2005
Enumeration DateFebruary 25, 2008
Last NPPES UpdateApril 7, 2023
NPPES CertifiedApril 7, 2023
NPI 1053580092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in MN · 52751
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License 57.010274 (OH), 52751 (MN)
516 DELAWARE ST SE, Minneapolis, MN 55455

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Mirna Georges Boumitri M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799978409
PECOS Enrollment IDI20101026000304
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
234 services78 patients
Dialysis services, 1 physician visit per month (20 years or older) 90962
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can’t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.
85 services24 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
79 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
45 services36 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
31 services31 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
25 services21 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Fairview Lakes Health Services

Acute Care Hospitals · Wyoming, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240050
Location5200 Fairview BoulevardWyoming, MN 55092 · Chisago County
Emergency services Birthing friendly

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

M Health Fairview Ridges Hospital

Acute Care Hospitals · Burnsville, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240207
Location201 East Nicollet BoulevardBurnsville, MN 55337 · Dakota County
Emergency services Birthing friendly

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240210
Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55455 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
516 DELAWARE ST SE, 4-240, PHILLIPS-WANGENSTEEN BLDG.
MINNEAPOLIS, MN 55455
Clinic/Center (Ophthalmologic Surgery)
516 DELAWARE ST SE, DEPARTMENT OF OPHTHALMOLOGY
MINNEAPOLIS, MN 55455
Social Worker (Clinical)
516 DELAWARE ST SE, CLINIC 1C
MINNEAPOLIS, MN 55455
Ophthalmology
516 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Dentist (Periodontics)
516 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Surgery
516 DELAWARE ST SE, PWB THIRD FLOOR, CLINIC 3B
MINNEAPOLIS, MN 55455
Internal Medicine (Hematology)
516 DELAWARE ST SE, SUITE 5-100, CLINIC 5B UNIVERSITY OF MINNESOTA PHYSICIA
MINNEAPOLIS, MN 55455
Occupational Therapist
516 DELAWARE ST SE, MMC106
MINNEAPOLIS, MN 55455

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mirna Boumitri's NPI number?

The NPI number for Mirna Boumitri is 1053580092. It was assigned to this individual provider in the NPPES registry on February 25, 2008.

Where is Mirna Boumitri located?

Mirna Boumitri practices at 516 Delaware St SE Clinic 2A, Minneapolis, MN 55455. The listed phone number is (612) 626-1687.

What is Mirna Boumitri's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Mirna Boumitri enrolled in Medicare?

Yes. Mirna Boumitri is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mirna Boumitri accept?

Health plans from Medica and Sanford Health Plan list Mirna Boumitri as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mirna Boumitri affiliated with any hospitals?

According to CMS data, Mirna Boumitri is affiliated with Fairview Lakes Health Services, M Health Fairview University Of Mn, M Health Fairview Ridges Hospital and M Health Fairview St John's Hospital.

When was this NPI record last updated?

The NPPES record for Mirna Boumitri was last updated on April 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.