MICHAEL J ACKERMAN M.D.
NPI 1104802032
Pediatrics - Pediatric Cardiology in Rochester, MN

Active since December 22, 2005PECOS EnrolledAccepts Medicare Assignment
200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 17, 2022, Aug 11, 2020, Apr 10, 2019 (3 updates tracked since 2019).

About Michael J Ackerman M.d. NPPES

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

MICHAEL J ACKERMAN M.D. (NPI 1104802032) is an individual pediatric cardiology provider in Rochester, Minnesota, licensed in Minnesota (39291) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Hospital Rochester, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1104802032
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameMICHAEL J ACKERMANCredential: M.D.
Location Address200 1ST ST SWRochester, MN 55905-0001
Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-2511
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateDecember 22, 2005
Last NPPES UpdateFebruary 17, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2022
✔ NPI 1104802032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in MN · 39291
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License ME147751 (FL)
200 1ST ST SW, Rochester, MN 55905

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael J Ackerman 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 ID1759426430
PECOS Enrollment IDI20100305000228, I20230127002588
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Michael Ackerman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Infectious Disease
200 1ST ST SW
Rochester, MN 55905
  • Reassigned Medicare billing, Minnesota enrollment
  • 6,534 clinicians in this Medicare group
Health Service
4500 SAN PABLO RD S
Jacksonville, FL 32224
  • Reassigned Medicare billing, Florida enrollment
  • 1,828 clinicians in this Medicare group
Multi-Specialty
13400 E SHEA BLVD
Scottsdale, AZ 85259
  • Reassigned Medicare billing, Arizona enrollment
  • 1,792 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Mayo Clinic Hospital Rochester

Acute Care Hospitals · Rochester, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240010
Location1216 Second Street SouthwestRochester, MN 55902 · Olmsted County
Emergency services Birthing friendly

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.

Internal Medicine
200 1ST ST SW
ROCHESTER, MN 55905
Pathology (Clinical Pathology/Laboratory Medicine)
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Optometrist
200 1ST ST SW
ROCHESTER, MN 55905
Psychologist
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Anesthetist, Certified Registered
200 1ST ST SW
ROCHESTER, MN 55905
Internal Medicine (Endocrinology, Diabetes & Metabolism)
200 1ST ST SW
ROCHESTER, MN 55905

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 Michael Ackerman's NPI number?

The NPI number for Michael Ackerman is 1104802032. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Michael Ackerman located?

Michael Ackerman practices at 200 1st St SW, Rochester, MN 55905. The listed phone number is (507) 284-2511.

What is Michael Ackerman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Michael Ackerman enrolled in Medicare?

Yes. Michael Ackerman 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.

Which organizations bill Medicare for Michael Ackerman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Ackerman reassigns Medicare benefits to 3 organizations: Mayo Clinic (Rochester, MN), Mayo Clinic Jacksonville (Jacksonville, FL) and Mayo Clinic Arizona (Scottsdale, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Ackerman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Michael Ackerman affiliated with any hospitals?

According to CMS data, Michael Ackerman is affiliated with Mayo Clinic Hospital Rochester.

When was this NPI record last updated?

The NPPES record for Michael Ackerman was last updated on February 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.