DR. SUMIT I PATEL MD
NPI 1316364797
Internal Medicine - Interventional Cardiology in Robbinsdale, MN

Q: What is Sumit Patel's NPI number?

The NPI number for Sumit Patel is 1316364797. It was assigned to this individual provider in the NPPES registry on March 24, 2014.

Q: What is Sumit Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Sumit Patel was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since March 24, 2014PECOS EnrolledAccepts Medicare Assignment

3300 OAKDALE AVE N STE 200, ROBBINSDALE, MN 55422(763) 581-5400(763) 581-3351 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 18, 2025, Jul 26, 2022, Jun 30, 2020 and 1 more (4 updates tracked since 2017).

On this page

About Dr. Sumit I Patel Md NPPES

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

DR. SUMIT I PATEL MD (NPI 1316364797) is an individual interventional cardiology provider in Robbinsdale, Minnesota, licensed in Minnesota (67401) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with North Memorial Health Hospital, and is a graduate of University Of Arizona College Of Medicine (2014).

NPPES Registry Identity

NPI1316364797

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameDR. SUMIT I PATELCredential: MD

Location Address3300 OAKDALE AVE N STE 200Robbinsdale, MN 55422-2926

Mailing Address3300 Oakdale Ave N Ste 200Robbinsdale, MN 55422-2926 · (763) 581-5400 · Fax (763) 581-3351

Phone(763) 581-5400

Fax(763) 581-3351

Sole ProprietorNo

Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2014

Enumeration DateMarch 24, 2014

Last NPPES UpdateNovember 18, 20254 updates tracked since enumeration

NPPES CertifiedNovember 18, 2025

✔ NPI 1316364797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in MN · 67401

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 67401 (MN)

3300 OAKDALE AVE N STE 200, Robbinsdale, MN 55422

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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. Sumit I Patel 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 ID6103182084

PECOS Enrollment IDI20210323001116

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.

Medicare Billing Reassignment

Medicare enrollment records show Sumit Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Memorial Health Care

Same address

Surgery

3300 OAKDALE AVE N
Robbinsdale, MN 55422

Reassigned Medicare billing, Minnesota enrollment
540 clinicians in this Medicare group

NPI 1629352489 (763) 520-5200

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 19

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

105 services98 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

78 services76 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

64 services59 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.

51 services49 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

34 services28 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

33 services30 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

32 services32 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

28 services28 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.

28 services20 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

27 services27 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

25 services25 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

21 services11 patients

Replacement of aortic valve through the skin and femoral artery 33361

This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.

20 services20 patients

Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel 92978

This procedure involves using ultrasound technology to examine the first vessel of your heart or graft. A radiologist will review the images. It's a non-invasive way to check the health of your heart's blood vessels.

17 services17 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

17 services17 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

15 services15 patients

Insertion of tube in right heart chambers and coronary artery for diagnosis with review by radiologist 93456

This procedure involves placing a small tube into your right heart chambers and coronary artery. It helps in diagnosing heart conditions. A radiologist will review the images obtained for accurate results. It's a standard, safe process.

13 services13 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

12 services12 patients

Insertion of tube in right heart chambers for measurement 93451

This procedure involves placing a small, flexible tube into the right side of your heart. It helps assess how your heart is functioning by measuring pressures within the heart chambers. It's a key tool in diagnosing certain heart conditions.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Memorial Health Hospital

Acute Care Hospitals · Robbinsdale, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240001

Location3300 Oakdale NorthRobbinsdale, MN 55422 · Hennepin County

Emergency services Birthing friendly

Essentia Health St Mary's Medical Center

Acute Care Hospitals · Duluth, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240002

Location402 East Second StreetDuluth, MN 55805 · St. Louis County

Emergency services Birthing friendly

Maple Grove Hospital

Acute Care Hospitals · Maple Grove, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240214

Location9875 Hospital DriveMaple Grove, MN 55369 · Hennepin County

Emergency services Birthing friendly

Essentia Health Moose Lake

Critical Access Hospitals · Moose Lake, MN

OwnershipGovernment - Hospital District or Authority

CMS Certification Number241350

Location4572 County Road 61Moose Lake, MN 55767 · Carlton County

Emergency services Birthing friendly

Essentia Health Deer River

Critical Access Hospitals · Deer River, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241360

Location115 10th Avenue NortheastDeer River, MN 56636 · Itasca County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55422 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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASON MINGJI WU MD

Internal Medicine (Cardiovascular Disease)

3300 OAKDALE AVE N STE 200
ROBBINSDALE, MN 55422

Hennepin County (763) 581-5400

PAUL J SARCIA MD

Internal Medicine (Cardiovascular Disease)

3300 OAKDALE AVE N STE 200
ROBBINSDALE, MN 55422

Hennepin County (763) 581-5400

SARA T MURRAY MD

Internal Medicine (Interventional Cardiology)

3300 OAKDALE AVE N STE 200
ROBBINSDALE, MN 55422

Hennepin County (763) 581-2273

SANDRA M HODGKIN RN, CNP

Nurse Practitioner (Adult Health)

3300 OAKDALE AVE N STE 200
ROBBINSDALE, MN 55422

Hennepin County (763) 520-2000

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 Sumit Patel's NPI number?

The NPI number for Sumit Patel is 1316364797. It was assigned to this individual provider in the NPPES registry on March 24, 2014.

Where is Sumit Patel located?

Sumit Patel practices at 3300 Oakdale Ave N Ste 200, Robbinsdale, MN 55422. The listed phone number is (763) 581-5400.

What is Sumit Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Sumit Patel enrolled in Medicare?

Yes. Sumit Patel 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 organization bills Medicare for Sumit Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sumit Patel reassigns Medicare benefits to North Memorial Health Care (Robbinsdale, MN). The 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 Sumit Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sumit Patel accept?

Health plans from HealthPartners list Sumit Patel 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 Sumit Patel affiliated with any hospitals?

According to CMS data, Sumit Patel is affiliated with North Memorial Health Hospital, Essentia Health St Mary's Medical Center, Maple Grove Hospital, Essentia Health Moose Lake and Essentia Health Deer River.

When was this NPI record last updated?

The NPPES record for Sumit Patel was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.