NPIMap

Individual provider Active NPI

Susan Hoyum, M.D.

  • Family Medicine Physician
  • Hibbing, MN
National Provider Identifier
1134572092
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
63324 Issued in MN
Practice address
3605 Mayfair Ave
Hibbing, MN 55746-2935
Phone
(218) 262-3441
NPI assigned
Jul 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RL14217 ND
Family Medicine Physician 207Q00000X 63324 MN Primary

Addresses

Primary practice location

3605 Mayfair Ave
Hibbing, MN 55746-2935

Mailing address

3605 Mayfair Ave
Hibbing, MN 55746-2935
Phone (218) 262-3441

Other identifiers 1

IdentifierTypeStateIssuer
12083MedicaidND

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.fairview.org/mychart

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190805002126 MN Practitioner - Family Practice 2163763277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Range Regional Health Services 349 clinicians

Practice addresses (Care Compare)

3605 Mayfair Ave
Hibbing, MN 55746-2935
Phone (218) 262-3441

Hospital & facility affiliations

  • Aveanna Home Health Home health agency, Hibbing, MN, CCN 247218
  • Range Regional Health Services Home health agency, Hibbing, MN, CCN 247183
  • Range Regional Health Services Hospice, Hibbing, MN, CCN 241574
  • Range Regional Health Services Hospital, Hibbing, MN, CCN 240040
  • Grand Itasca Clinic and Hospital Hospital, Grand Rapids, MN, CCN 240064
  • St Lukes Hospital Hospital, Duluth, MN, CCN 240047
  • Guardian Angels Health & Rehab Center Nursing home, Hibbing, MN, CCN 245239

Merit-based Incentive Payment System (MIPS)

Final score
96.93 of 100Reported as group
Quality
94.88
Promoting interoperability
100
Improvement activities
40
Cost
78.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
RL14217NDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Range Regional Health Services CurrentSince Aug 1, 2019 Accepting new patients
Range Regional Health Services Current Accepting new patients
Range Regional Health Services CurrentSince Aug 1, 2019 Accepting new patients
Guardian Angels Health and Rehabilitation Center Past Accepting new patients

Locations

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

3605 Mayfair Ave
Hibbing, MN 55746
Phone (218) 262-3441

402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858

Interoperability endpoints

  • Direct secure messaging: shoyum351544@fairview.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
University Medical Center/ Mesaba ClinicsHibbing, MN, CCN 240040 Hospital Corporate Officer Jan 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

Hospital & facility affiliations 31

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1134572092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 MAYFAIR AVE",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557462935",
            "telephone_number": "218-262-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 MAYFAIR AVE",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557462935",
            "telephone_number": "218-262-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOYUM",
        "first_name": "SUSAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-15",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "RL14217",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "63324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12083",
            "state": "ND"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.fairview.org/mychart",
            "affiliation": "N",
            "address_1": "3605 Mayfair Ave",
            "city": "Hibbing",
            "state": "MN",
            "country_code": "US",
            "postal_code": "557462935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hibbing, MN

Sources for this page

Verify at the official NPI Registry.