BORIS SUDEL MD - NPI 1336349778 - Pediatrics in Minneapolis, MN

Q: What is Boris Sudel's NPI number?

The NPI number for Boris Sudel is 1336349778. It was assigned to this individual provider in the NPPES registry on July 24, 2007.

Q: What is Boris Sudel's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Q: When was this NPI record last updated?

The NPPES record for Boris Sudel was last updated on August 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Boris Sudel Md NPPES

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

BORIS SUDEL MD (NPI 1336349778) is an individual pediatric gastroenterology provider in Minneapolis, Minnesota, licensed in Minnesota (49457) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1336349778

Entity TypeIndividualMale

Primary Taxonomy2080P0206X

Provider Legal NameBORIS SUDELCredential: MD

Location Address3001 BROADWAY ST NE STE 120Minneapolis, MN 55413-2196

Mailing AddressPo Box 14909Minneapolis, MN 55414-0909 · (612) 871-1145 · Fax (612) 870-5812

Phone(612) 871-1145

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateJuly 24, 2007

Last NPPES UpdateAugust 22, 2022

NPPES CertifiedAugust 22, 2022

✔ NPI 1336349778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0206X

License✔ Licensed in MN · 49457

Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

Also ListedPediatricsTaxonomy 208000000X · License 49457 (MN)

3001 BROADWAY ST NE STE 120, Minneapolis, MN 55413

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Other Identifiers 1

Other139276MN · Ucare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

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

Boris Sudel 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 ID9032294251

PECOS Enrollment IDI20080312000570

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55413 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 7

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

JESSICA ANNE ULRICH MD

Pediatrics (Pediatric Gastroenterology)