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

Dr. Jay Allen Dirks, MD

Individual provider Family Medicine Physician · NPI 1255394573

Dr. Jay Allen Dirks, MD is a Family Practice in St Louis Park, Minnesota. Graduated from University of Minnesota Medical School in 2000, 26 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
26
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.

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Practice location Address checks out

6600 Excelsior Blvd Ste 160
St Louis Park, MN 55426
Phone: (952) 993-7700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2020 E 28th St, Minneapolis, MN 55407-1394 — (612) 333-0770
  • 2020 E 28th St, Minneapolis, MN 55407-1394 — (612) 333-0770

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 43635 (MN)

Record details

NPI number1255394573
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 8, 2006
Last updated in NPPESNovember 21, 2019
Mailing address6600 Excelsior Blvd Ste 160, St Louis Park, MN 55426-4713

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2000 (26 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in St Louis Park