Suzanne Natalie Walczak, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Bloomington, MN
NPI 1346409158 · NPPES record last updated Jan 6, 2023
Key facts
- NPI
- 1346409158
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 59281 (MN)
- Practice address
- 7920 Old Cedar Ave S
Bloomington, MN 55425-1207 - Phone
- (952) 428-1800
- NPI assigned
- Jun 6, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 23
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Medical College of Wisconsin, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allina Health System
Practice addresses (Care Compare)
440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225
Hospital & facility affiliations
- Abbott Northwestern Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150615002653 | MN | Practitioner - Obstetrics/Gynecology | 0042366791 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59281 | MN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current |
Accepting new patients | |
| Allina Health System | Obstetrics & Gynecology | Current | Accepting new patients |
| Allina Health System | Current |
Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Allina Health System | Past | Accepting new patients |
Locations
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
7920 Old Cedar Ave S
Minneapolis, MN 55425
Phone (952) 428-1800
Interoperability endpoints
- swalczak410864@excellian.direct.allina.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 59281 | MN | Yes |
Addresses
Primary practice location
7920 Old Cedar Ave S
Bloomington, MN 55425-1207
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 863-4000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | swalczak410864@excellian.direct.allina.com | Direct |
Other providers in Bloomington, MN
- Omar Wahedi
- William Wahlers
- Harold Wahlquist
- Asha Wako
- Wal-Mart Stores, Inc.
- Bailey Marie Waldhauser
- Walgreen Co
- Walgreen Co
- Walgreen Co
- Walgreen Co
All providers in Bloomington, MN · Obstetrics & Gynecology Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.