Individual provider Active NPI

Alice Rosalie Suchomel, M.D.

  • Family Medicine Physician
  • Cannon Falls, MN
National Provider Identifier
1356369201
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
39876 Issued in MN
Practice address
1122 Mill St W
Cannon Falls, MN 55009-1824
Phone
(507) 263-3951
Fax
(507) 263-7652
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 39876 MN
Family Medicine Physician 207Q00000X 39876 MN Primary

Addresses

Primary practice location

1122 Mill St W
Cannon Falls, MN 55009-1824

Mailing address

1122 Mill St W
Cannon Falls, MN 55009-1824
Phone (507) 263-3951

Other identifiers 1

IdentifierTypeStateIssuer
543325800MedicaidMN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address northfieldhospital@direct.northfieldhospital.md Northfield Hospital

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060424000006 MN Practitioner - Emergency MedicinePractitioner - Family Practice 0244260008 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
University of Minnesota Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northfield HospitalGroup PAC ID 2567372998, 121 clinicians

Practice addresses (Care Compare)

2014 Jefferson Rd
Suite C
Northfield, MN 55057-3251
Phone (507) 646-6700

Hospital & facility affiliations

  • Northfield Hospital Hospital, Northfield, MN, CCN 240014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39876MNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northfield Hospital Current Accepting new patients
Northfield Hospital CurrentSince Jan 20, 2024 Accepting new patients
Cook Area Health Services, Inc CurrentSince Jul 1, 2020 Accepting new patients
Cook Area Health Services, Inc CurrentSince Jul 1, 2020 Accepting new patients
Cook Area Health Services, Inc Current Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region Past Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region Past Accepting new patients

Locations

135 Pine Tree Dr
Bigfork, MN 56628
Phone (218) 743-3232

20 5th St SE
Cook, MN 55723
Phone (218) 666-5941

4645 Knutsen Dr
Farmington, MN 55024
Phone (651) 460-2300

9974 214th St W
Lakeville, MN 55044
Phone (952) 469-0500

2000 North Ave
Northfield, MN 55057
Phone (507) 646-1000

2014 Jefferson Rd
Ste C
Northfield, MN 55057
Phone (507) 646-6700

Organizations & group practices 7

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1356369201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 MILL ST W",
            "city": "CANNON FALLS",
            "state": "MN",
            "postal_code": "550091824",
            "telephone_number": "507-263-3951",
            "fax_number": "507-263-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 MILL ST W",
            "city": "CANNON FALLS",
            "state": "MN",
            "postal_code": "550091824",
            "telephone_number": "507-263-3951",
            "fax_number": "507-263-7652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUCHOMEL",
        "first_name": "ALICE",
        "middle_name": "ROSALIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "39876",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "39876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "543325800",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "northfieldhospital@direct.northfieldhospital.md",
            "affiliation": "Y",
            "affiliationName": "Northfield Hospital",
            "address_1": "2000 North Ave",
            "city": "Northfield",
            "state": "MN",
            "country_code": "US",
            "postal_code": "55057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cannon Falls, MN

Sources for this page

Verify at the official NPI Registry.