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

Dr. Jacob Ninan, MBBS

Individual provider Internal Medicine Physician · NPI 1063776417

Dr. Jacob Ninan, MBBS is a Nephrology in Rochester, Minnesota. Qualified in 2009, 17 years ago. Practices with Capital Medical Center Specialty Physicians LLC, a 104-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona, Illinois, Minnesota and Wisconsin.

Years since qualifying
17
Licensed in
AZ, IL, MN, WI
In the registry since
2012
Specialties on file
4
What do these letters mean?
MBBS — Bachelor of Medicine, Bachelor of Surgery
The medical degree awarded in the UK, India and many Commonwealth countries; equivalent to an MD.

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Practice location Address checks out

200 1st St SW
Rochester, MN 55905-0001
Phone: (507) 284-2511
Show map & directions

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

Additional practice locations (2)

  • 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 — (480) 301-8000
  • 700 10th St S, La Crosse, WI 54601 — (715) 838-5222

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 66624 (MN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 125060753 (IL)
Nephrology Physician Taxonomy 207RN0300X · Licence 55575 (AZ)
Hospitalist Physician Taxonomy 208M00000X · Licence 63852-20 (WI)

Record details

NPI number1063776417
Entity typeIndividual (Type 1)
GenderMale
Credentials MBBS
Sole proprietorNo
NPI enumeratedJune 30, 2012
Last updated in NPPESSeptember 3, 2020
Certification dateSeptember 3, 2020
Mailing address200 1st St Sw, Rochester, MN 55905-0001

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Capital Medical Center Specialty Physicians Llc — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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