Active NPI
Sherief A Mikhail, M.D.,M.P.H.
- Preventive Medicine/Occupational Environmental Medicine Physician
- Minneapolis, MN
National Provider Identifier
1225058670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- 33701
- Practice address
- 7801 E Bush Lake Rd Ste 400
Minneapolis, MN 55439-3113 - Phone
- (952) 283-3162
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | 33701 | MN | |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 33701 | MN | Primary |
Addresses
Primary practice location
7801 E Bush Lake Rd Ste 400
Minneapolis, MN 55439-3113
Mailing address
7801 E Bush Lake Rd
Ste 400
Minneapolis, MN 55439-3113
Phone (952) 283-3162
Other practice location 1
360 Sherman St
Suite 470
Saint Paul, MN 55102-2564
Phone (651) 209-6520
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0107343 | Other | MN | MEDICA PRIMARY |
| 0107342 | Other | MN | MEDICA/SELECT CARE |
| 108978F703 | Other | MN | UCARE |
| 47D56MI | Other | MN | BCBS OF MN |
| HP16775 | Other | MN | HEALTH PARTNERS |
| 772050 | Other | MN | AMERICAS PPO/ARAZ |
| A003 | Other | MN | TRICARE |
| 878202400 | Medicaid | MN | |
| 509491008134 | Other | MN | PREFERRED ONE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33701 | MN | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LTC Professionals, PLLC | Current | Accepting new patients |
Locations
7801 E Bush Lake Rd
Ste 400
Minneapolis, MN 55439
Phone (952) 283-3162
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583452800000",
"number": "1225058670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7801 E BUSH LAKE RD",
"address_2": "STE 400",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554393113",
"telephone_number": "952-283-3162",
"fax_number": "866-991-7241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7801 E BUSH LAKE RD STE 400",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554393113",
"telephone_number": "952-283-3162"
}
],
"practiceLocations": [
{
"address_1": "360 Sherman St",
"address_2": "Suite 470",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551022564",
"country_code": "US",
"telephone_number": "651-209-6520",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIKHAIL",
"first_name": "SHERIEF",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.,M.P.H.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2020-03-06",
"certification_date": "2020-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "MN",
"license": "33701",
"primary": false
},
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "MN",
"license": "33701",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA PRIMARY",
"identifier": "0107343",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA/SELECT CARE",
"identifier": "0107342",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "108978F703",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MN",
"identifier": "47D56MI",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP16775",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAS PPO/ARAZ",
"identifier": "772050",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "A003",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "878202400",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "509491008134",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.