Individual provider

Mirna Boumitri, M.D.

Nephrology Physician Internal Medicine Physician Medicare enrolled

Mirna Boumitri, M.D. is a Nephrology Physician in Minneapolis, MN, registered under NPI 1053580092. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 516 DELAWARE ST SE CLINIC 2A, Minneapolis, MN 55455. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

516 DELAWARE ST SE CLINIC 2A, Minneapolis, MN 55455 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
52751 MN Nephrology Physician primary
57.010274 OH Internal Medicine Physician
52751 MN Internal Medicine Physician

Licences are recorded in 2 states: MN, OH. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nephrology
PAC ID
5799978409

Medicare enrolment is recorded as approved under the provider type Practitioner - Nephrology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Minnesota and Ohio. The practice address on file is in Minneapolis, MN, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

MN Minnesota practice address
Licence
52751
Specialty
Nephrology Physician
Verify with the MN board →
OH Ohio
Licence
57.010274
Specialty
Internal Medicine Physician
Verify with the OH board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Nephrology covers

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. NUCC Health Care Provider Taxonomy, code 207RN0300X
Allopathic & Osteopathic Physicians Internal Medicine Nephrology

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207RN0300X Nephrology Physician Nephrology 52751 MN primary
207R00000X Internal Medicine Physician 57.010274 OH
207R00000X Internal Medicine Physician 52751 MN

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1053580092 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateFeb 25, 2008
Last updatedApr 7, 2023
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 516 DELAWARE ST SE
CLINIC 2A
Minneapolis, MN 55455
(612) 626-1687
Mailing address 717 DELAWARE ST SE MAIL CODE 1932
Minneapolis, MN 55414
The last update on file is Apr 7, 2023. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1053580092 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 5 3 5 8 0 0 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 1 3 1 8 0 0 9

Sum = 48 · next multiple of 10 = 50 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1053580092?
NPI 1053580092 is the National Provider Identifier assigned to Mirna Boumitri, M.D. in Minneapolis, MN. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Nephrology cover?
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.
How do I contact Mirna Boumitri, M.D.?
The phone number on file with NPPES is (612) 626-1687, last updated Apr 7, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Mirna Boumitri, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1053580092 a valid number?
Yes. 1053580092 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.