NUTTAVUT SUMRANSUB M.D.
NPI 1003470568
Internal Medicine - Hematology & Oncology in Minneapolis, MN
About Nuttavut Sumransub M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NUTTAVUT SUMRANSUB M.D. (NPI 1003470568) is an individual hematology & oncology provider in Minneapolis, Minnesota, licensed in Minnesota (81002) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nuttavut Sumransub M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Nuttavut Sumransub reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 1,662 clinicians in this Medicare group
Minneapolis, MN 55414
- Reassigned Medicare billing, Minnesota enrollment
- 1,453 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55455 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nuttavut Sumransub's NPI number?
The NPI number for Nuttavut Sumransub is 1003470568. It was assigned to this individual provider in the NPPES registry on April 30, 2019.
Where is Nuttavut Sumransub located?
Nuttavut Sumransub practices at 909 Fulton St SE, Minneapolis, MN 55455. The listed phone number is (612) 672-7422.
What is Nuttavut Sumransub's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.
Is Nuttavut Sumransub enrolled in Medicare?
Yes. Nuttavut Sumransub is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Nuttavut Sumransub's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nuttavut Sumransub reassigns Medicare benefits to 4 organizations: Fairview Express Care (Minneapolis, MN), University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN), University Of Minnesota Physicians (Minneapolis, MN) and Fairview Specialty Services (Minneapolis, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nuttavut Sumransub's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nuttavut Sumransub accept?
Health plans from Sanford Health Plan list Nuttavut Sumransub as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Nuttavut Sumransub was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nuttavut Sumransub, M.D. · NPI 1003470568
Hematology & Oncology physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since April 30, 2019.
## Identity
- **NPI:** 1003470568 (Entity type: Individual)
- **Enumerated:** April 30, 2019
- **Primary specialty:** Internal Medicine - Hematology & Oncology · taxonomy 207RH0003X
- **State license:** 81002 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 909 FULTON ST SE, Minneapolis, MN 55455-4800
- **Phone:** (612) 672-7422
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Fairview Express Care (NPI 1629224258, Minneapolis, MN); University Of Minnesota Health Clinics And Surgery Center Inc (NPI 1003485004, Minneapolis, MN); University Of Minnesota Physicians (NPI 1477598118, Minneapolis, MN); Fairview Specialty Services (NPI 1043199334, Minneapolis, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** July 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1003470568) · Data from the CMS NPPES public registry.