Organization Active NPI

Reema Medical Group, P.C.

  • Psychiatric/Mental Health Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1992586085
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
REEMA MEDICAL GROUP, P.C.
Practice address
2708 E Lake St
Unit 302
Minneapolis, MN 55406
Phone
(612) 356-2582
NPI assigned
Oct 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Authorized official

Name
Yavar Moghimi, MDNPI 1982879185
Title
Director
Phone
(612) 356-2582

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2708 E Lake St
Unit 302
Minneapolis, MN 55406

Mailing address

2708 E Lake St
Unit 302
Minneapolis, MN 55406
Phone (612) 356-2582

Other practice location 1

7901 4th St N Ste 300
Saint Petersburg, FL 33702-4399
Phone (612) 356-2582

Other practice location 2

6650 Rivers Ave Ste 100
North Charleston, SC 29406-4809
Phone (612) 356-2582

Other practice location 3

2800 E Enterprise Ave Ste 333
Appleton, WI 54913-7889
Phone (612) 356-2582

Other practice location 4

401 Ryland St Ste 200A
Reno, NV 89502-1643
Phone (612) 356-2582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MI, WI, OH4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20250828003739 FL Part B Supplier - Clinic/Group Practice 8224539549 Receives reassigned benefits from 1 practitioner
Practice locations: St Petersburg, FL
O20250906000816 MI Part B Supplier - Clinic/Group Practice 8224539549 Receives reassigned benefits from 1 practitioner
Practice locations: Okemos, MI
O20250910001211 WI Part B Supplier - Clinic/Group Practice 8224539549 Receives reassigned benefits from 1 practitioner
Practice locations: Appleton, WI
O20251017000340 OH Part B Supplier - Clinic/Group Practice 8224539549 Receives reassigned benefits from 1 practitioner
Practice locations: Canton, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1992586085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 E LAKE ST",
            "address_2": "UNIT 302",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55406",
            "telephone_number": "612-356-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 E LAKE ST",
            "address_2": "UNIT 302",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55406",
            "telephone_number": "612-356-2582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7901 4th St N Ste 300",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337024399",
            "country_code": "US",
            "telephone_number": "612-356-2582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6650 Rivers Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294064809",
            "country_code": "US",
            "telephone_number": "612-356-2582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 E Enterprise Ave Ste 333",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549137889",
            "country_code": "US",
            "telephone_number": "612-356-2582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Ryland St Ste 200A",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895021643",
            "country_code": "US",
            "telephone_number": "612-356-2582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REEMA MEDICAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-13",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "MOGHIMI",
        "authorized_official_first_name": "YAVAR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-356-2582",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.