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

Active since July 24, 2007PECOS EnrolledAccepts Medicare Assignment
3001 BROADWAY ST NE STE 120, MINNEAPOLIS, MN 55413(612) 871-1145 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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
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

Other Identifiers 1

Other139276MN · Ucare

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

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Boris Sudel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gastroenterology
3001 BROADWAY ST NE STE 500
Minneapolis, MN 55413
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Mngi Digestive Health PA
  • 322 clinicians in this Medicare group
Cardiovascular Disease
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
General Acute Care Hospital
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 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.

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 8

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

Pediatrics (Pediatric Gastroenterology)
3001 BROADWAY ST NE STE 120
MINNEAPOLIS, MN 55413
Pediatrics (Pediatric Gastroenterology)
3001 BROADWAY ST NE STE 120
MINNEAPOLIS, MN 55413
Nurse Anesthetist, Certified Registered
3001 BROADWAY ST NE STE 120
MINNEAPOLIS, MN 55413
Nurse Practitioner (Pediatrics)
3001 BROADWAY ST NE STE 120
MINNEAPOLIS, MN 55413
Pediatrics (Pediatric Gastroenterology)
3001 BROADWAY ST NE STE 120
MINNEAPOLIS, MN 55413
Nurse Practitioner (Pediatrics)
3001 BROADWAY ST NE STE 120
MINNEAPOLIS, MN 55413
Registered Nurse (Gastroenterology)
3001 BROADWAY ST NE STE 120
MINNEAPOLIS, MN 55413
Registered Nurse (Gastroenterology)
3001 BROADWAY ST NE STE 120
MINNEAPOLIS, MN 55413

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 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.

Where is Boris Sudel located?

Boris Sudel practices at 3001 Broadway St NE Ste 120, Minneapolis, MN 55413. The listed phone number is (612) 871-1145.

What is Boris Sudel's specialty?

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

Is Boris Sudel enrolled in Medicare?

Yes. Boris Sudel 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 Boris Sudel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Boris Sudel reassigns Medicare benefits to 3 organizations: Mngi Digestive Health, P.A. (Minneapolis, MN), Fairview Express Care (Minneapolis, MN) and Fairview Health Services (Minneapolis, MN). 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 Boris Sudel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Boris Sudel accept?

Health plans from HealthPartners list Boris Sudel 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 Boris Sudel was last updated on August 22, 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.