Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. David Ernest Niccum, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1316110869

Dr. David Ernest Niccum, MD is a Pulmonary Disease in St Paul, Minnesota. Graduated from St Louis College of Physicians and Surgeons in 2008, 18 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
18
Trained at
St Louis College of Physicians and Surgeons
Licensed in
MN
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

640 Jackson St MS 11502B
St Paul, MN 55101-2502
Phone: (651) 254-3135
Fax: (651) 254-3048
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 420 Delaware St Se, Minneapolis, MN 55455-0341 — (612) 624-0999

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 56658 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1316110869
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2008
Last updated in NPPESMarch 17, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Also practisesINTERNAL MEDICINE, PEDIATRIC MEDICINE
Medical schoolST. LOUIS COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2008 (18 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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