Andrew Surmak, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

64923 Issued in MN

Practice address

3808 Grand Way
Saint Louis Park, MN 55416-4788

Phone

(952) 920-0580

NPI assigned

Jul 12, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA, MN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

General Surgery

Education

University of Michigan Medical School, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minnesota Medical Associates PCGroup PAC ID 5799020947, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Minnesota Medical Associates P.C.

  • Surgery Physician
  • Saint Louis, MO
  • NPI 1528541562

  MN

  Medicare reassignment Care Compare group NPD
• Maryland and Virginia Phlebology PC

  • Surgery Physician
  • Baltimore, MD
  • NPI 1750462081

  VA

  Medicare reassignment
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Galesburg Clinic PC

  • Specialist
  • Galesburg, IL
  • NPI 1972614808
  NPD (past)
• Mid-Atlantic Nephrology Associates PA

  • Nephrology Physician
  • Baltimore, MD
  • NPI 1356390108
  NPD (past)
• St Agnes Healthcare Inc

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1144250176

  Surgery

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558051200000",
    "number": "1013915370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD",
            "address_2": "STE 300",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151050",
            "telephone_number": "630-725-2730",
            "fax_number": "844-205-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 GRAND WAY",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554164788",
            "telephone_number": "952-920-0580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Whetstone Way",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212304770",
            "country_code": "US",
            "telephone_number": "410-244-8110",
            "fax_number": "410-244-6799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SURMAK",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2019-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MD",
            "license": "D24929",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "64923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257281800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Supervalu Pharmacies Inc
• Supervalu Pharmacies Inc
• Somu Suppiah, M.D.
• Surface Specialists Metro Inc
• Surgicare of Minneapolis LTD
• Susan E Nicol PHD LLC
• Susan K. Searle Inc.
• Emma Grace Sutton, MSW, LICSW
• Mary Eileen Sutton
• Robert Herbert Sutton

• Surgery Physician in Saint Louis Park, MN
• Providers in Saint Louis Park, MN by specialty
• Surgery Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.