Active NPI
Suzanne L Human, MD
- Family Medicine Physician
- Bemidji, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 38830
- Practice address
- 1233 34TH St NW
Bemidji, MN 56601-5112 - Phone
- (218) 333-5000
- NPI assigned
- Jun 12, 2006
- Last updated
- Feb 2, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 38830 | MN | Primary |
Addresses
Primary practice location
1233 34TH St NW
Bemidji, MN 56601-5112
Mailing address
1233 34TH St NW
Bemidji, MN 56601-5112
Phone (218) 333-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 644824 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Geriatric Medicine
- Education
- JC Edwards School of Medicine, Marshall University, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24760 Hospital Dr
Redlake, MN 56671-0497
Phone 2186793912108
PO Box
Suite 497
Red Lake, MN 56671-0497
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38830 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| PHS Indian Hospital | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Family Medicine | Current | Accepting new patients |
| Sanford Health of Northern Minnesota | Family Medicine | Current | Accepting new patients |
Locations
203 4th St NW
Bagley, MN 56621
Phone (218) 694-3939
1300 Anne St NW
Bemidji, MN 56601
Phone (218) 333-5794
1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020
600 Pleasant Ave S
Park Rapids, MN 56470
Phone (218) 732-3311
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sanford Health Kelliher Clinic
- Family Medicine Physician
- Kelliher, MN
- NPI 1770849697
-
dba CHI St. Joseph's Health
- Critical Access Hospital
- Park Rapids, MN
- NPI 1023086055
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bemidji, MN
- NPI 1376617522
-
dba Joe Lueken Cancer Center
- Internal Medicine Physician
- Bemidji, MN
- NPI 1780628149
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328140800000",
"number": "1326080649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1233 34TH ST NW",
"city": "BEMIDJI",
"state": "MN",
"postal_code": "566015112",
"telephone_number": "218-333-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1233 34TH ST NW",
"city": "BEMIDJI",
"state": "MN",
"postal_code": "566015112",
"telephone_number": "218-333-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMAN",
"first_name": "SUZANNE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2012-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "38830",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "644824",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bemidji, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.