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

Reid Kenneth Mimmack, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1861070948

Reid Kenneth Mimmack, MD is an Anesthesiology in Minneapolis, Minnesota. Graduated from University of Minnesota Medical School in 2021, 5 years ago. Practices with Metropolitan Anesthesia Network LLP, a 519-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
5
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2021
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

701 Park Ave
Minneapolis, MN 55415-1623
Phone: (612) 873-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 79473 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1861070948
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2021
Last updated in NPPESJuly 3, 2025
Certification dateJune 22, 2025

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2021 (5 years in practice)
Group practice Metropolitan Anesthesia Network Llp — 519 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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