DR. MICHAEL K SUTLEY DDS
NPI 1316000755
Dentist - Oral and Maxillofacial Surgery in Minneapolis, MN
About Dr. Michael K Sutley Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL K SUTLEY DDS (NPI 1316000755) is an individual oral and maxillofacial surgery provider in Minneapolis, Minnesota, licensed in Minnesota (9086) and active in the NPI registry since December 2006. He has opted out of Medicare through August 18, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Michael K Sutley Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 18, 2015 through August 18, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55402 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 55402
MINNEAPOLIS, MN 55402
MINNEAPOLIS, MN 55402
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 Michael Sutley's NPI number?
The NPI number for Michael Sutley is 1316000755. It was assigned to this individual provider in the NPPES registry on December 18, 2006.
Where is Michael Sutley located?
Michael Sutley practices at 825 Nicollet Mall Suite 707 Medical Arts Bldg, Minneapolis, MN 55402. The listed phone number is (612) 333-3381.
What is Michael Sutley's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Michael Sutley enrolled in Medicare?
No. Michael Sutley has opted out of Medicare through August 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Michael Sutley accept?
Health plans from Anthem Blue Cross and Blue Shield list Michael Sutley 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 Michael Sutley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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. Michael K Sutley, DDS · NPI 1316000755
Oral and Maxillofacial Surgery provider in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since December 18, 2006.
## Identity
- **NPI:** 1316000755 (Entity type: Individual)
- **Enumerated:** December 18, 2006
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** 9086 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 825 NICOLLET MALL, SUITE 707 MEDICAL ARTS BLDG, Minneapolis, MN 55402-2606
- **Phone:** (612) 333-3381 · **Fax:** (612) 334-3318
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through August 18, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** July 8, 2007
---
Source: [NPI Profile](https://npiprofile.com/npi/1316000755) · Data from the CMS NPPES public registry.