Dr Mirna Georges Boumitri, MD - Medicare Nephrology in Minneapolis, MN

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Dr Mirna Georges Boumitri, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Minneapolis, Minnesota. She went to Drexel University College Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Nephrology. She is a member of the group practice Fairview Express Care, University Of Minnesota Physicians and her current practice location is 516 Delaware St Se, Clinic 2a, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 626-1687.

Dr Mirna Georges Boumitri is licensed to practice in Minnesota (license number 52751) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053580092.

Contact Information

Dr Mirna Georges Boumitri, MD
516 Delaware St Se, Clinic 2a,
Minneapolis, MN 55455
(612) 626-1687
Not Available

Map and Direction




Physician's Profile

Full NameDr Mirna Georges Boumitri
GenderFemale
SpecialityNephrology
Experience19 Years
Location516 Delaware St Se, Minneapolis, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Mirna Georges Boumitri attended and graduated from Drexel University College Of Medicine in 2005
  NPI Data:
  • NPI Number: 1053580092
  • Provider Enumeration Date: 02/25/2008
  • Last Update Date: 04/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5799978409
  • Enrollment ID: I20101026000304

Medical Identifiers

Medical identifiers for Dr Mirna Georges Boumitri such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053580092NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 57.010274 (Ohio)Secondary
207R00000XInternal Medicine 52751 (Minnesota)Secondary
207RN0300XInternal Medicine - Nephrology 52751 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Central Avenue DialysisBlaine, MNDialysis facility
Riverside Dialysis Of DavitaSaint paul, MNDialysis facility
Davita - UptownMinneapolis, MNDialysis facility
East River Road DialysisFridley, MNDialysis facility
Davita - RichfieldRichfield, MNDialysis facility
University Of Minnesota Medical Center, FairviewMinneapolis, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Express Care33756451791537
University Of Minnesota Physicians9830001189124

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Mirna Georges Boumitri allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Minnesota Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477598118
PECOS PAC ID: 9830001189
Enrollment ID: O20031104000532
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameHealtheast St Joseph's Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134186273
PECOS PAC ID: 2365348869
Enrollment ID: O20031208000245
Entity NameHealtheast Care System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194787465
PECOS PAC ID: 7214833763
Enrollment ID: O20031208000483
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548
Entity NameUniversity Of Minnesota Health Clinics And Surgery Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053795187
PECOS PAC ID: 9133423304
Enrollment ID: O20160209000524

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mirna Georges Boumitri is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Mirna Georges Boumitri, MD
717 Delaware St Se, Mail Code 1932,
Minneapolis, MN 55414-2959

Ph: (612) 624-6843		Dr Mirna Georges Boumitri, MD
516 Delaware St Se, Clinic 2a,
Minneapolis, MN 55455

Ph: (612) 626-1687

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.