DR. SHYAM SUNDAR BHUPALAM MBBS
NPI 1124078332
Internal Medicine - Nephrology in Duluth, MN
About Dr. Shyam Sundar Bhupalam Mbbs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHYAM SUNDAR BHUPALAM MBBS (NPI 1124078332) is an individual nephrology provider in Duluth, Minnesota, licensed in Minnesota (70714) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and is a graduate of Other (1978).
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 and accepts Medicare assignment
Dr. Shyam Sundar Bhupalam Mbbs is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
5Medicare enrollment records show Shyam Sundar Bhupalam reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Duluth, MN 55805
- Reassigned Medicare billing, Minnesota and Wisconsin enrollments
- 1,460 clinicians in this Medicare group
Superior, WI 54880
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: St Marys Hospital Of Superior
- 381 clinicians in this Medicare group
Moose Lake, MN 55767
- Reassigned Medicare billing, Minnesota enrollment
- 213 clinicians in this Medicare group
Grand Rapids, MN 55744
- Reassigned Medicare billing, Minnesota enrollment
- 171 clinicians in this Medicare group
Lansing, MI 48912
- Reassigned Medicare billing, Michigan enrollment
- 265 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.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Essentia Health St Mary's Medical Center
Acute Care Hospitals · Duluth, MNEssentia Health Duluth
Acute Care Hospitals · Duluth, MNEssentia Health Virginia
Acute Care Hospitals · Virginia, MNEssentia Health Moose Lake
Critical Access Hospitals · Moose Lake, MNSt Marys Hospital Superior
Critical Access Hospitals · Superior, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
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.
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 Shyam Sundar Bhupalam's NPI number?
The NPI number for Shyam Sundar Bhupalam is 1124078332. It was assigned to this individual provider in the NPPES registry on May 10, 2006.
Where is Shyam Sundar Bhupalam located?
Shyam Sundar Bhupalam practices at 400 E 3rd St, Duluth, MN 55805. The listed phone number is (218) 786-8364.
What is Shyam Sundar Bhupalam's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Shyam Sundar Bhupalam enrolled in Medicare?
Yes. Shyam Sundar Bhupalam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Shyam Sundar Bhupalam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shyam Sundar Bhupalam reassigns Medicare benefits to 5 organizations: The Duluth Clinic, Ltd (Duluth, MN), St. Mary's Hospital Of Superior (Superior, WI), Essentia Health Moose Lake (Moose Lake, MN), Deer River Healthcare Center, Inc. (Grand Rapids, MN) and Edward W Sparrow Hospital Association (Lansing, MI). 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 Shyam Sundar Bhupalam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shyam Sundar Bhupalam accept?
Health plans from HealthPartners, Sanford Health Plan and Security Health Plan list Shyam Sundar Bhupalam 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.
Is Shyam Sundar Bhupalam affiliated with any hospitals?
According to CMS data, Shyam Sundar Bhupalam is affiliated with Essentia Health St Mary's Medical Center, Essentia Health Duluth, Essentia Health Virginia, Essentia Health Moose Lake and St Marys Hospital Superior.
When was this NPI record last updated?
The NPPES record for Shyam Sundar Bhupalam was last updated on April 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Dr. Shyam Sundar Bhupalam, MBBS · NPI 1124078332
Nephrology physician in Duluth, Minnesota. Individual provider, active in the CMS NPPES registry since May 10, 2006.
## Identity
- **NPI:** 1124078332 (Entity type: Individual)
- **Enumerated:** May 10, 2006
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **State license:** 70714 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 E 3RD ST, Duluth, MN 55805-1951
- **Phone:** (218) 786-8364
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): The Duluth Clinic, Ltd (NPI 1245278209, Duluth, MN); St. Mary's Hospital Of Superior (NPI 1083657886, Superior, WI); Essentia Health Moose Lake (NPI 1154959880, Moose Lake, MN); Deer River Healthcare Center, Inc. (NPI 1093152423, Grand Rapids, MN); Edward W Sparrow Hospital Association (NPI 1033513148, Lansing, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1978
## Record status
- **NPPES last updated:** April 8, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1124078332) · Data from the CMS NPPES public registry.