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

Dr. Jacob Isaac Mirman, MD

Individual provider Internal Medicine Physician · NPI 1568404440

Dr. Jacob Isaac Mirman, MD is an Internal Medicine in Saint Louis Park, Minnesota. Graduated from University of Minnesota Medical School in 1987, 39 years ago. Practices with Life Medical PA, an 8-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
39
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4201 Excelsior Blvd
Saint Louis Park, MN 55416-4728
Phone: (952) 933-8900
Fax: (952) 945-9536
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 33594 (MN)

Record details

NPI number1568404440
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2006
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 1987 (39 years in practice)
Group practice Life Medical Pa — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Saint Louis Park