MIRNA G. BOUMITRI M.D. – NPI #1053580092
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

MIRNA BOUMITRI is a physician located in MINNEAPOLIS, MN. NPPES has assigned the NPI number 1053580092 to MIRNA BOUMITRI on February 25, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 3 years ago on Apr 07, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MIRNA BOUMITRI below.

NPI Profile for
MIRNA G. BOUMITRI

NPI Number
1053580092
Enumeration Date

(more than 18 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MIRNA G. BOUMITRI
Credentials
M.D.
Primary location
516 DELAWARE ST SE
CLINIC 2A
MINNEAPOLIS, MN 55455
Phone: (612) 626-1687 Fax:
Mailing address
717 DELAWARE ST SE
MAIL CODE 1932
MINNEAPOLIS, MN 55414-2959
Phone: (612) 624-6843 Fax: (612) 626-3840
Sole Proprietor
No
Updated
Certification Date
Apr 07, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)		 MN 52751
207R00000X
- Internal Medicine		 MN 52751

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
DREXEL UNIVERSITY COLLEGE OF MEDICINE - Graduated 2005
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MIRNA BOUMITRI is affiliated with the following medical group(s):
  • HOSPITAL
    • M HEALTH FAIRVIEW RIDGES HOSPITAL
      201 EAST NICOLLET BOULEVARD
      BURNSVILLE, MN 55337
    • M HEALTH FAIRVIEW UNIVERSITY OF MN
      2450 RIVERSIDE AVENUE
      MINNEAPOLIS, MN 55454
  • DIALYSIS FACILITY
    • DAVITA CENTRAL AVENUE DIALYSIS
      10994 BALTIMORE ST NE
      BLAINE, MN 55449
    • DAVITA EAST RIVER ROAD DIALYSIS
      5301 E RIVER RD
      FRIDLEY, MN 55421
    • DAVITA MINNEAPOLIS UPTOWN DIALYSIS
      3601 LYNDALE AVENUE SOUTH
      MINNEAPOLIS, MN 55409
    • DAVITA RICHFIELD DIALYSIS
      6601 LYNDALE AVE SOUTH
      RICHFIELD, MN 55423
    • DAVITA UNIVERSITY DIALYSIS UNIT RIVERSIDE
      1045 WESTGATE DRIVE
      SAINT PAUL, MN 55114

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.