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ISMAIL HASSAN MUALIN M.D
NPI 1801012083
Internal Medicine in Saint Louis Park, MN

Active since April 17, 2007PECOS Enrolled
4039 BROOKSIDE AVE, SAINT LOUIS PARK, MN 55416(612) 473-9392 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ismail Hassan Mualin M.d NPPES

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

ISMAIL HASSAN MUALIN M.D (NPI 1801012083) is an individual internal medicine provider in Saint Louis Park, Minnesota, licensed in Minnesota (49433) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801012083
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameISMAIL HASSAN MUALINCredential: M.D
Location Address4039 BROOKSIDE AVESaint Louis Park, MN 55416-2808
Mailing Address4039 Brookside AveSaint Louis Park, MN 55416-2808 · (612) 473-9392
Phone(612) 473-9392
Sole ProprietorYes
Enumeration DateApril 17, 2007
Last NPPES UpdateOctober 7, 2025
NPPES CertifiedOctober 7, 2025
✔ NPI 1801012083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MN · 49433✔ Licensed in CA · A110696
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.
4039 BROOKSIDE AVE, Saint Louis Park, MN 55416
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ismail Hassan Mualin M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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

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

MINUTE HEALTH LLC
Clinic/Center
4039 BROOKSIDE AVE
SAINT LOUIS PARK, MN 55416
Hennepin County (612) 473-9392

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 Ismail Mualin's NPI number?

The NPI number for Ismail Mualin is 1801012083. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Ismail Mualin located?

Ismail Mualin practices at 4039 Brookside Ave, Saint Louis Park, MN 55416. The listed phone number is (612) 473-9392.

What is Ismail Mualin's specialty?

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

Is Ismail Mualin enrolled in Medicare?

Yes. Ismail Mualin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ismail Mualin was last updated on October 7, 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.