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JAKUB TOLAR MD
NPI 1962591974
Pediatrics - Pediatric Hematology-Oncology in Minneapolis, MN

Active since October 11, 2006PECOS Enrolled
516 DELAWARE STREET SE, PWB 5TH FLOOR, STE 5-100 CLINIC 5B, MINNEAPOLIS, MN 55455(612) 273-2800 Get Directions Write a Review

NPPES record last updated: November 18, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jakub Tolar Md NPPES

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

JAKUB TOLAR MD (NPI 1962591974) is an individual pediatric hematology-oncology provider in Minneapolis, Minnesota, licensed in Minnesota (42278) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962591974
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameJAKUB TOLARCredential: MD
Location Address516 DELAWARE STREET SE, PWB 5TH FLOOR, STE 5-100 CLINIC 5BMinneapolis, MN 55455
Mailing Address420 Delaware Street Se, University Of Minnesota PhysiciansMinneapolis, MN 55455 · (612) 273-2800
Phone(612) 273-2800
Sole ProprietorNo
Enumeration DateOctober 11, 2006
Last NPPES UpdateNovember 18, 2016
✔ NPI 1962591974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in MN · 42278
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Also ListedPediatricsTaxonomy 208000000X · License 42278 (MN)
516 DELAWARE STREET SE, Minneapolis, MN 55455
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Other Identifiers 10

Medicare UPINH45305
Medicaid0063240MT
Other12-02535MN · Medica Choice
Other1384114FM · Araz
Other1028458MN · Preferred One
Other131326MN · Fairview
Medicaid288656100MN
Other12-09026MN · Medica Primary
OtherHP33585MN · Health Partners
Other140923MN · Ucare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jakub Tolar Md 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Jakub Tolar reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Minnesota Physicians
0.2 mi
Multi-Specialty
720 WASHINGTON AVE SE STE 200
Minneapolis, MN 55414
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,453 clinicians in this Medicare group
NPI 1477598118 (612) 672-7422
Fairview Express Care
0.3 mi
Cardiovascular Disease
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
NPI 1629224258 (612) 625-3600
University Of Minnesota Health Clinics And Surgery Center Inc
0.3 mi
Anesthesiology
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,662 clinicians in this Medicare group
NPI 1003485004 (612) 273-8383
Fairview Specialty Services
0.5 mi
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.

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.

DR. BRUCE ROBERT BLAZAR M.D.
Pediatrics (Pediatric Hematology-Oncology)
516 DELAWARE STREET SE, UNIVERSITY OF MN PHYSICIANS, PWB FIFTH FLOOR, CLINIC 5B
MINNEAPOLIS, MN 55455
Hennepin County (612) 273-2800
MARYAM VALAPOUR MD
Internal Medicine (Pulmonary Disease)
516 DELAWARE STREET SE, PWB SECOND FLOOR CLINIC 2A
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-6100
ANUP P. RAMANI MD
Urology
516 DELAWARE STREET SE, CLINIC 1E, FIRST FLOOR PWB
MINNEAPOLIS, MN 55455
Hennepin County (612) 636-6666
DR. MUKTA ARORA M.B., B.S.
Internal Medicine (Hematology & Oncology)
516 DELAWARE STREET SE, UNIV. OF MN PHYSICIANS, PWB FIFTH FLOOR, CLINIC 5B
MINNEAPOLIS, MN 55455
Hennepin County (612) 273-2800
WILLIAM M STAUFFER III MD
Internal Medicine (Infectious Disease)
516 DELAWARE STREET SE, DELAWARE STREET CLINIC
MINNEAPOLIS, MN 55455
Hennepin County (612) 884-0649
DR. JUTTA ELLERMANN M.D.
Radiology (Diagnostic Radiology)
516 DELAWARE STREET SE, PWB 1ST FL CLINIC 1D UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN 55455
Hennepin County (612) 273-6004
JOSEPH M TERRY MD
Ophthalmology
516 DELAWARE STREET SE, EYE CLINIC
MINNEAPOLIS, MN 55455
Hennepin County (612) 884-0649
JOSEPH M KEENAN MD
Family Medicine
516 DELAWARE STREET SE, PWB THIRD FLOOR CLINIC 3A
MINNEAPOLIS, MN 55455
Hennepin County (612) 884-0999

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 Jakub Tolar's NPI number?

The NPI number for Jakub Tolar is 1962591974. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Jakub Tolar located?

Jakub Tolar practices at 516 Delaware Street SE Pwb 5th Floor, Ste 5-100 Clinic 5B, Minneapolis, MN 55455. The listed phone number is (612) 273-2800.

What is Jakub Tolar's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Jakub Tolar enrolled in Medicare?

Yes. Jakub Tolar is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jakub Tolar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jakub Tolar reassigns Medicare benefits to 4 organizations: University Of Minnesota Physicians (Minneapolis, MN), Fairview Express Care (Minneapolis, MN), University Of Minnesota Health Clinics And Surgery Center Inc (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 Jakub Tolar'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 Jakub Tolar was last updated on November 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.