Individual provider Active NPI

Igal Mirman, MD

  • Neurology Physician
  • Rochester, MN
National Provider Identifier
1598298317
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
69641 Issued in MN
Practice address
510 8TH Street SW
Rochester, MN 55905-1121
Phone
(561) 430-9299
NPI assigned
Apr 8, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 69641 MN Primary

Addresses

Primary practice location

510 8TH Street SW
Rochester, MN 55905-1121

Mailing address

200 1St St SW
Rochester, MN 55905-0002

Other practice location 1

8268 164th St
Jamaica, NY 11432-1121
Phone (561) 430-9299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230828000439 TN Practitioner - Neurology 8527461086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Health System, Inc. 512 clinicians

Practice addresses (Care Compare)

7209 Chapman Hwy
Knoxville, TN 37920-6685
Phone (865) 577-0003

Hospital & facility affiliations

  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015
  • Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173
  • Methodist Medical Center of Oak Ridge Hospital, Oak Ridge, TN, CCN 440034
  • Fort Loudoun Medical Center Hospital, Lenoir City, TN, CCN 440110

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
Quality
86.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
69641MNMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System Inc CurrentSince Aug 1, 2023 Accepting new patients
University Health System, Inc Current Accepting new patients
University Health System, Inc Neurology CurrentSince Aug 1, 2023 Accepting new patients
Knoxville Neurology Specialists, PLLC Neurology Past Accepting new patients

Locations

1128 E Weisgarber Rd
Ste 250
Knoxville, TN 37909
Phone (865) 521-6174

7209 Chapman Hwy
Knoxville, TN 37920
Phone (865) 305-6955

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1491609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1598298317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 8TH STREET SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559051121",
            "telephone_number": "561-430-9299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8268 164th St",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114321121",
            "country_code": "US",
            "telephone_number": "561-430-9299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRMAN",
        "first_name": "IGAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-08",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MN",
            "license": "69641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.