Life Medical, P.A.
NPI 1740222496 · Multi-Specialty Clinic/Center · Saint Louis Park, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Life Medical, P.A. is a Multi-Specialty Clinic/Center organization in Saint Louis Park, MN (NPI 1740222496).
Provider details
- NPI number
- 1740222496
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jacob Mirman, Managing Partner(952) 933-8900
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Life Medical
Registry dates
- Enumerated
- 2006-06-10
- Last updated
- 2025-09-18
- Certified
- 2025-09-18
Frequently asked questions
- What is Life Medical, P.A.'s NPI number?
- Life Medical, P.A.'s National Provider Identifier (NPI) is 1740222496, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Medical, P.A.?
- Life Medical, P.A. is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Life Medical, P.A. located?
- Life Medical, P.A.'s practice location on file with NPPES is 4201 Excelsior Blvd, Saint Louis Park, MN 55416-4728.
- What is Life Medical, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Life Medical, P.A. is (952) 933-1121.
- Does Life Medical, P.A. accept Medicare?
- Life Medical, P.A. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Life Medical, P.A.?
- The authorized official listed on Life Medical, P.A.'s NPPES record is Jacob Mirman, Managing Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Medical, P.A.'s NPI active?
- Yes — Life Medical, P.A.'s NPI (1740222496) is active in the NPPES registry as of the last update on 2025-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.