Individual provider Active NPI

Micah Karasov, D.O.

  • Allergy & Immunology Physician
  • Saint Paul, MN
National Provider Identifier
1922493733
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
68080 Issued in MN
Practice address
565 Snelling Ave S
Saint Paul, MN 55116-1525
Phone
(651) 698-0386
Fax
(651) 379-0464
NPI assigned
Mar 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 68080 MN Primary

Addresses

Primary practice location

565 Snelling Ave S
Saint Paul, MN 55116-1525

Mailing address

565 Snelling Ave S
Saint Paul, MN 55116-1525
Phone (651) 698-0386

Other practice location 1

650 Commerce Dr Ste 165
Woodbury, MN 55125-3058
Phone (651) 698-0386 ext. 65186

Other practice location 2

4535 Hodgson Rd Ste 500
Shoreview, MN 55126-1954
Phone (651) 698-0386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20201021002833 MN Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 9830455179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Paul Allergy and Asthma Clinic P.a.Group PAC ID 0840182291, 4 clinicians

Practice addresses (Care Compare)

565 Snelling Ave S
Saint Paul, MN 55116-1525
Phone (651) 698-0386

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68080MNMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Paul Allergy & Asthma Clinic P.a. Allergy & Immunology CurrentSince Sep 2, 2025 Accepting new patients
Allergy and Asthma Center of Minnesota PLLC Allergy & Immunology PastSince Aug 24, 2020 Accepting new patients

Locations

565 Snelling Ave S
Saint Paul, MN 55116
Phone (651) 698-0386

4535 Hodgson Rd
Ste 500
Shoreview, MN 55126
Phone (651) 379-9080

650 Commerce Dr
Ste 165
Woodbury, MN 55125
Phone (651) 698-0386

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJBIAD

Organizations & group practices 2

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": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1922493733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 SNELLING AVE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161525",
            "telephone_number": "651-698-0386",
            "fax_number": "866-314-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 SNELLING AVE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161525",
            "telephone_number": "651-698-0386",
            "fax_number": "651-379-0464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Commerce Dr Ste 165",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551253058",
            "country_code": "US",
            "telephone_number": "651-698-0386 x65186",
            "fax_number": "866-314-4031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4535 Hodgson Rd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Shoreview",
            "state": "MN",
            "postal_code": "551261954",
            "country_code": "US",
            "telephone_number": "651-698-0386",
            "fax_number": "866-314-4031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARASOV",
        "first_name": "MICAH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MN",
            "license": "68080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.