Individual provider Active NPI

Jinal Kairav Vakil

  • Physical Therapist
  • Robbinsdale, MN
National Provider Identifier
1134472913
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9186 Issued in MN
Practice address
4080 West Broadway Ave Ste 300
Robbinsdale, MN 55422-5607
Phone
(317) 850-0784
NPI assigned
Oct 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9186 MN Primary

Addresses

Primary practice location

4080 West Broadway Ave Ste 300
Robbinsdale, MN 55422-5607

Mailing address

808 Berry St
Apartment No. 421
Saint Paul, MN 55114-1064
Phone (317) 850-0784

Other names 1

  • Jinal Dhiren Jhaveri Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121219000268 MN Practitioner - Physical Therapist in Private Practice 6709038896 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians

Practice addresses (Care Compare)

14101 Fairview Dr
Suite 300
Burnsville, MN 55337-2537
Phone (952) 460-4900

3033 Excelsior Blvd
Suite 225
Minneapolis, MN 55416-0026
Phone (612) 821-4375

717 Delaware St SE
Suite 340
Minneapolis, MN 55414-2959
Phone (612) 672-7422

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
75.41
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Current Accepting new patients
Fairview Health Services CurrentSince Nov 5, 2012 Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Express Care CurrentSince Nov 5, 2012 Accepting new patients
Fairview Express Care CurrentSince Feb 20, 2021 Accepting new patients
Healtheast Outpatient Services, LLC Physical Therapist CurrentSince Nov 5, 2021 Accepting new patients
Fairview Express Care CurrentSince Feb 20, 2021 Accepting new patients

Locations

15650 Cedar Ave
Ste 160
Apple Valley, MN 55124
Phone (952) 997-4170

15650 Cedar Ave
Apple Valley, MN 55124
Phone (952) 997-4100

1750 105th Ave NE
Blaine, MN 55449
Phone (763) 780-0356

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

6341 University Ave NE
Ste 104
Fridley, MN 55432
Phone (763) 572-4946

14712 Victor Hugo Blvd N
Hugo, MN 55038
Phone (651) 466-1900

7455 Village Dr
Lino Lakes, MN 55014
Phone (651) 389-0189

10000 Zane Ave N
Minneapolis, MN 55443
Phone (763) 528-6999

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

3033 Excelsior Blvd
Ste 225
Minneapolis, MN 55416
Phone (612) 672-7000

400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203

600 W 98th St
Ste 390
Minneapolis, MN 55420
Phone (952) 460-4900

2600 39th Ave NE
Ste 220
Saint Anthony, MN 55421
Phone (612) 672-7100

1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1134472913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 BERRY ST",
            "address_2": "APARTMENT NO. 421",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141064",
            "telephone_number": "317-850-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 WEST BROADWAY AVE STE 300",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554225607",
            "telephone_number": "317-850-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAKIL",
        "first_name": "JINAL",
        "middle_name": "KAIRAV",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "9186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JINAL",
            "last_name": "JHAVERI",
            "middle_name": "DHIREN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Robbinsdale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.