SAMIRA SUGULE MD
NPI 1235690611
Internal Medicine in Blaine, MN

Active since March 27, 2019PECOS EnrolledAccepts Medicare Assignment
94.24/100
CMS Quality Rating
10961 CLUB WEST PKWY, BLAINE, MN 55449(763) 528-2987 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samira Sugule Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMIRA SUGULE MD (NPI 1235690611) is an individual internal medicine provider in Blaine, Minnesota, licensed in Connecticut (71169) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Norwalk, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1235690611
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSAMIRA SUGULECredential: MD
Location Address10961 CLUB WEST PKWYBlaine, MN 55449-5866
Mailing Address1700 University Ave WSaint Paul, MN 55104-3727
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 27, 2019
Last NPPES UpdateOctober 13, 2025
NPPES CertifiedOctober 13, 2025
NPI 1235690611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CT · 71169
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 71169 (CT)
10961 CLUB WEST PKWY, Blaine, MN 55449

Secondary Practice Location 1

Location 134 Maple StNorwalk, CT 06850-3815 · Phone (203) 852-2025

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Samira Sugule Md 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.

PECOS PAC ID345620134
PECOS Enrollment IDI20250902002029
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
484 services173 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
146 services140 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
108 services106 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
77 services50 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
52 services51 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
26 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55449 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant (Medical)
10961 CLUB WEST PKWY
BLAINE, MN 55449
Optometrist
10961 CLUB WEST PKWY, SUITE 130
BLAINE, MN 55449
Clinic/Center (Multi-Specialty)
10961 CLUB WEST PKWY
BLAINE, MN 55449
Clinic/Center (Multi-Specialty)
10961 CLUB WEST PKWY, STE 200
BLAINE, MN 55449
Specialist/Technologist (Athletic Trainer)
10961 CLUB WEST PKWY
BLAINE, MN 55449
Ophthalmology
10961 CLUB WEST PKWY, SUITE 130
BLAINE, MN 55449
Pharmacy
10961 CLUB WEST PKWY
BLAINE, MN 55449
Durable Medical Equipment & Medical Supplies
10961 CLUB WEST PKWY
BLAINE, MN 55449

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 Samira Sugule's NPI number?

The NPI number for Samira Sugule is 1235690611. It was assigned to this individual provider in the NPPES registry on March 27, 2019.

Where is Samira Sugule located?

Samira Sugule practices at 10961 Club West Pkwy, Blaine, MN 55449. The listed phone number is (763) 528-2987.

What is Samira Sugule's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Samira Sugule enrolled in Medicare?

Yes. Samira Sugule 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.

When was this NPI record last updated?

The NPPES record for Samira Sugule was last updated on October 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.