MARKETA DIMITROV MD
NPI 1568959575
Pediatrics in Minneapolis, MN

Q: What is Marketa Dimitrov's NPI number?

The NPI number for Marketa Dimitrov is 1568959575. It was assigned to this individual provider in the NPPES registry on April 16, 2018.

Q: What is Marketa Dimitrov's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Marketa Dimitrov was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since April 16, 2018PECOS Enrolled

2450 RIVERSIDE AVE # M136, MINNEAPOLIS, MN 55454(612) 624-4477 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2025, Apr 9, 2021, Sep 15, 2019 and 1 more (4 updates tracked since 2018).

On this page

About Marketa Dimitrov Md NPPES

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

MARKETA DIMITROV MD (NPI 1568959575) is an individual pediatrics provider in Minneapolis, Minnesota, licensed in Minnesota (69332) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1568959575

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMARKETA DIMITROVCredential: MD

Location Address2450 RIVERSIDE AVE # M136Minneapolis, MN 55454-1450

Mailing Address420 Delaware Street Se, Mayo Mail Code 484Minneapolis, MN 55455-0392 · (612) 626-5501

Phone(612) 624-4477

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateApril 16, 2018

Last NPPES UpdateJune 30, 20254 updates tracked since enumeration

NPPES CertifiedJune 30, 2025

✔ NPI 1568959575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MN · 69332

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2450 RIVERSIDE AVE # M136, Minneapolis, MN 55454

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marketa Dimitrov Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204231038

PECOS Enrollment IDI20250926000158

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55454 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

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 7

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

JONATHAN GALE DO

Student in an Organized Health Care Education/Training Program