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MARKETA DIMITROV MD
NPI 1568959575
Pediatrics in Minneapolis, MN

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: October 25, 2026.

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

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
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Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Marketa Dimitrov reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Health Services
Same address
General Acute Care Hospital
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
NPI 1013994359 (612) 672-6000
Fairview Specialty Services
Same address
Physical Therapy
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 clinicians in this Medicare group
NPI 1043199334 (855) 324-7843

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

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
Pediatrics
2450 RIVERSIDE AVE # M136
MINNEAPOLIS, MN 55454
Hennepin County (612) 624-4477
DR. LEAH MARIE DOLS SCHAAF DO
Pediatrics
2450 RIVERSIDE AVE # M136
MINNEAPOLIS, MN 55454
Hennepin County (612) 624-4477
PUNISHI BHAVESH PAREKH
Student in an Organized Health Care Education/Training Program
2450 RIVERSIDE AVE # M136
MINNEAPOLIS, MN 55454
Hennepin County (612) 624-4477
DR. BRADY MANKER MD
Student in an Organized Health Care Education/Training Program
2450 RIVERSIDE AVE # M136
MINNEAPOLIS, MN 55454
Hennepin County (612) 624-4477
DR. CALEB POWELL MD
Student in an Organized Health Care Education/Training Program
2450 RIVERSIDE AVE # M136
MINNEAPOLIS, MN 55454
Hennepin County (612) 624-4477
BONNIE HOPE BENTSON
Student in an Organized Health Care Education/Training Program
2450 RIVERSIDE AVE # M136
MINNEAPOLIS, MN 55454
Hennepin County (612) 624-4477
PHILLIP WEIMERSKIRCH PLAGER MD
Pediatrics
2450 RIVERSIDE AVE # M136
MINNEAPOLIS, MN 55454
Hennepin County (612) 624-4477

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 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.

Where is Marketa Dimitrov located?

Marketa Dimitrov practices at 2450 Riverside Ave # M136, Minneapolis, MN 55454. The listed phone number is (612) 624-4477.

What is Marketa Dimitrov's specialty?

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

Is Marketa Dimitrov enrolled in Medicare?

Yes. Marketa Dimitrov is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Marketa Dimitrov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marketa Dimitrov reassigns Medicare benefits to 2 organizations: Fairview Health Services (Minneapolis, MN) and Fairview Specialty Services (Minneapolis, MN). 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 Marketa Dimitrov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 15 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.