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DR. JACOB ISAAC MIRMAN M.D.
NPI 1568404440
Internal Medicine in Saint Louis Park, MN

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
4201 EXCELSIOR BLVD, SAINT LOUIS PARK, MN 55416(952) 933-8900(952) 945-9536 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jacob Isaac Mirman M.d. NPPES

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

DR. JACOB ISAAC MIRMAN M.D. (NPI 1568404440) is an individual internal medicine provider in Saint Louis Park, Minnesota, licensed in Minnesota (33594) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (1987).

NPPES Registry Identity

NPI1568404440
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JACOB ISAAC MIRMANCredential: M.D.
Location Address4201 EXCELSIOR BLVDSaint Louis Park, MN 55416-4728
Mailing Address4201 Excelsior BlvdSt Louis Park, MN 55416-4728 · (952) 933-8900 · Fax (952) 945-9536
Phone(952) 933-8900
Fax(952) 945-9536
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1987
Enumeration DateJune 12, 2006
Last NPPES UpdateSeptember 18, 2025
NPPES CertifiedSeptember 18, 2025
✔ NPI 1568404440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MN · 33594
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4201 EXCELSIOR BLVD, Saint Louis Park, MN 55416
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Other Identifiers 1

Medicaid959862600MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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. Jacob Isaac Mirman 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 ID9537263058
PECOS Enrollment IDI20070322000334
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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
128 services111 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.
20 services15 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55416 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 15

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

RACHEL ANDERSON NP-C
Nurse Practitioner
4201 EXCELSIOR BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 933-8900
DR. JILL MAVEN GRAY PSYD, LP
Psychologist (Clinical)
4201 EXCELSIOR BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 933-8900
DR. TOAN QUOC TRAN D.P.T.
Physical Therapist
4201 EXCELSIOR BLVD
SAINT LOUIS PARK, MN 55416
Hennepin County (952) 933-8900
MINNESOTA MEDICAL AND REHABILITATIVE SERVICES, LLC
Physical Therapist
4201 EXCELSIOR BLVD
ST. LOUIS PARK, MN 55416
Hennepin County (952) 564-3880
DR. OLGA KARACHENETS M.D.
Family Medicine
4201 EXCELSIOR BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 933-8900
LINDA SHAW HALLER PA-C, MPH
Physician Assistant (Medical)
4201 EXCELSIOR BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 564-3880
HOMEOPATHIC MEDICAL CLINIC
Clinic/Center (Health Service)
4201 EXCELSIOR BLVD
MINNEAPOLIS, MN 55416
Hennepin County (952) 933-8900
TARAN JOHN BARRETT DC
Chiropractor
4201 EXCELSIOR BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 933-8900

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 Jacob Mirman's NPI number?

The NPI number for Jacob Mirman is 1568404440. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Jacob Mirman located?

Jacob Mirman practices at 4201 Excelsior Blvd, Saint Louis Park, MN 55416. The listed phone number is (952) 933-8900.

What is Jacob Mirman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jacob Mirman enrolled in Medicare?

Yes. Jacob Mirman 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 Jacob Mirman accept?

Health plans from Medica list Jacob Mirman 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.

When was this NPI record last updated?

The NPPES record for Jacob Mirman was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.