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

Larissa M Dimitrov, MD

Individual provider Geriatric Medicine (Family Medicine) Physician · NPI 1386827053

Larissa M Dimitrov, MD is a Family Practice in Shoreview, Minnesota. Qualified in 1991, 35 years ago. Practices with Twin Cities Physicians Professional Corporation, a 66-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
35
Licensed in
MN
In the registry since
2007
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

4166 Lexington Ave N
Shoreview, MN 55126-6106
Phone: (651) 483-5461
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 72958 (MN)
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X · Licence 72958 (MN)

Record details

NPI number1386827053
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 17, 2007
Last updated in NPPESSeptember 26, 2023
Certification dateSeptember 26, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesGERIATRIC MEDICINE
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Twin Cities Physicians Professional Corporation — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare