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

Individual provider Internal Medicine Physician · NPI 1083697684

Kingsley Iheasirim, MD is an Internal Medicine in Mankato, Minnesota. Qualified in 1994, 32 years ago. Practices with Mayo Clinic Health System-Southwest Minnesota Region, a 667-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
32
Licensed in
MN
In the registry since
2005
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

1025 Marsh St
Mankato, MN 56001-4752
Phone: (507) 625-4031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1015 Marsh St, Mankato, MN 56001-5294 — (507) 389-4700

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 46210 (MN)

Record details

NPI number1083697684
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 29, 2005
Last updated in NPPESSeptember 18, 2020
Certification dateSeptember 18, 2020

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Mayo Clinic Health System-Southwest Minnesota Region — 667 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Mankato