DR. SUMI PATEL M.D.
NPI 1669868048
Internal Medicine - Rheumatology in Maple Grove, MN

Q: What is Sumi Patel's NPI number?

The NPI number for Sumi Patel is 1669868048. It was assigned to this individual provider in the NPPES registry on April 12, 2015.

Q: What is Sumi Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for Sumi Patel was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 April 12, 2015PECOS EnrolledAccepts Medicare Assignment

14500 99TH AVE N, MAPLE GROVE, MN 55369(763) 898-1000 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 24, 2025, Jul 17, 2024, Jul 8, 2024 and 3 more (6 updates tracked since 2020).

On this page

About Dr. Sumi Patel M.d. NPPES

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

DR. SUMI PATEL M.D. (NPI 1669868048) is an individual rheumatology provider in Maple Grove, Minnesota, licensed in Minnesota (69312) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of Northeastern Ohio University College Of Medicine (2015).

NPPES Registry Identity

NPI1669868048

Entity TypeIndividualFemale

Primary Taxonomy207RR0500X

Provider Legal NameDR. SUMI PATELCredential: M.D.

Location Address14500 99TH AVE NMaple Grove, MN 55369-4730

Mailing Address215 10th Ave S Unit 507Minneapolis, MN 55415-1784 · (440) 749-6731

Phone(763) 898-1000

Sole ProprietorNo

Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2015

Enumeration DateApril 12, 2015

Last NPPES UpdateFebruary 24, 20256 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2025

✔ NPI 1669868048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

Licenses✔ Licensed in MN · 69312✔ Licensed in OH · 35.140060

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

14500 99TH AVE N, Maple Grove, MN 55369

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, 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

Dr. Sumi Patel M.d. 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 ID941500359

PECOS Enrollment IDI20210706001872

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 22

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.

Injection, tocilizumab, 1 mg J3262

Tocilizumab is a medication administered via injection. It's used to treat certain conditions like rheumatoid arthritis by reducing inflammation in the body. It works by blocking a substance in the body that leads to inflammation.

37,400 services20 patients

Injection, golimumab, 1 mg, for intravenous use J1602

Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.

15,050 services35 patients

Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129

Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.

12,800 services43 patients

Injection, romosozumab-aqqg, 1 mg J3111

Romosozumab-aqqg is a medication given by injection to treat osteoporosis in patients at high risk for fractures. It works by increasing bone mass and strength, reducing the risk of fractures.

9,240 services12 patients

Injection, infliximab, excludes biosimilar, 10 mg J1745

Infliximab is a medication given via injection to treat certain autoimmune conditions. It works by blocking the action of a substance in your body that causes inflammation. Each dose is based on your medical condition and response to treatment.

7,110 services51 patients

Injection, rituximab, 10 mg J9312

Rituximab is a medication given via injection. It's used to treat certain types of cancer and autoimmune diseases. The 10 mg dosage refers to the amount of the drug in the injection. It works by targeting and destroying specific cells, helping your body's immune system.

2,900 services14 patients

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

780 services12 patients

Infusion, normal saline solution, 250 cc J7050

An infusion of normal saline solution, 250 cc, involves administering a sterile saltwater solution into your body through a vein, usually in your arm. This helps to replenish fluids, maintain hydration, and balance electrolytes in your body.

583 services176 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

516 services174 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

382 services223 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.

312 services199 patients

Infusion into a vein for therapy, prevention, or diagnosis, each additional hour 96366

This procedure involves delivering medication, fluids, or nutrients directly into your vein. This is done to treat, prevent, or diagnose various conditions. Each additional hour refers to the extended time you may need to receive these substances for optimal results.

236 services70 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

149 services32 patients

Injection, zoledronic acid, 1 mg J3489

Zoledronic acid is a medication given via injection to strengthen bones. It's often used in patients with osteoporosis or certain types of cancer. The injection helps reduce the risk of fractures and other bone complications.

125 services25 patients

Injection of drug or substance into vein 96374

This procedure involves introducing a medication or substance directly into your vein using a syringe. It's a quick and efficient way to deliver treatment throughout your body. You might feel a small prick when the needle enters. It's generally safe and effective.

71 services39 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

60 services46 patients

Injection, diphenhydramine hcl, up to 50 mg J1200

Diphenhydramine HCL injection is a medicine given to alleviate symptoms of allergies, colds, or hay fever. It can also help with motion sickness and certain symptoms of Parkinson's disease. Up to 50 mg may be administered depending on your condition.

57 services30 patients

Injection of additional new drug or substance into vein 96375

This procedure involves introducing a new medication or substance into your bloodstream via a vein. It's typically done using a small needle. The substance can help treat various conditions or assist in diagnostic procedures. It's generally safe and monitored by professionals.

52 services29 patients

Injection, methylprednisolone sodium succinate, up to 40 mg J2920

Methylprednisolone sodium succinate is a corticosteroid medication, administered via injection. It helps reduce inflammation and immune responses. It's often used to treat conditions like arthritis, allergies, or skin diseases. The dosage is up to 40 mg.

26 services11 patients

X-ray of entire middle and lower spine, 2-3 views 72082

An X-ray of your middle and lower spine involves capturing images of these areas to identify any abnormalities. The procedure involves taking 2-3 different views for a comprehensive understanding. It's non-invasive and usually painless, helping doctors diagnose conditions like fractures or infections.

25 services25 patients

Dxa bone density measurement of hip, pelvis, spine 77080

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

25 services25 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.

24 services24 patients

Hospital Affiliations CMS Care Compare 3

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

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240080

Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County

Emergency services Birthing friendly

Fairview Northland Regional Hospital

Acute Care Hospitals · Princeton, MN

OwnershipVoluntary non-profit - Other

CMS Certification Number240141

Location911 Northland DrivePrinceton, MN 55371 · Mille Lacs County

Emergency services Birthing friendly

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240210

Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55369 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 20

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

HEATHER LAGE RN, CDE

Registered Nurse (Diabetes Educator)

14500 99TH AVE N
MAPLE GROVE, MN 55369

Hennepin County (763) 898-1000

SARAH NICOLE OLSON VENNING LICSW

Social Worker (Clinical)

14500 99TH AVE N
MAPLE GROVE, MN 55369

Hennepin County (651) 600-0342

MS. RENEE HAROLDSON OTRL CHT

Occupational Therapist (Hand)

14500 99TH AVE N, #1-210
MAPLE GROVE, MN 55369

Hennepin County (763) 898-1778

BARBARA I BENSON RD

Dietitian, Registered

14500 99TH AVE N
MAPLE GROVE, MN 55369

Hennepin County (763) 898-1073

DR. JENNIFER MERTZ RIEGEL PHARM.D

Pharmacist

14500 99TH AVE N
MAPLE GROVE, MN 55369

Hennepin County (763) 898-1806

DR. MICHAELA MONETTI PH.D., LP

Psychologist (Clinical)

14500 99TH AVE N
MAPLE GROVE, MN 55369

Hennepin County (763) 898-1000

KATTI LAUREN WOERNER D.O

Internal Medicine (Nephrology)

14500 99TH AVE N, MEDICAL SPECIALTY CLINIC
MAPLE GROVE, MN 55369

Hennepin County (763) 898-1000

FAIRVIEW PHARMACY SERVICES LLC

Non-Pharmacy Dispensing Site

14500 99TH AVE N
MAPLE GROVE, MN 55369

Hennepin County (763) 898-1000

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 Sumi Patel's NPI number?

The NPI number for Sumi Patel is 1669868048. It was assigned to this individual provider in the NPPES registry on April 12, 2015.

Where is Sumi Patel located?

Sumi Patel practices at 14500 99th Ave N, Maple Grove, MN 55369. The listed phone number is (763) 898-1000.

What is Sumi Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Sumi Patel enrolled in Medicare?

Yes. Sumi 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.

What insurance does Sumi Patel accept?

Health plans from CareSource and Medica list Sumi 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 Sumi Patel affiliated with any hospitals?

According to CMS data, Sumi Patel is affiliated with M Health Fairview University Of Mn, Fairview Northland Regional Hospital and M Health Fairview St John's Hospital.

When was this NPI record last updated?

The NPPES record for Sumi Patel was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.