NPIMap

Individual provider Active NPI

Suzanne Rudi, PA-C

  • Surgical Physician Assistant
  • Edina, MN
National Provider Identifier
1407882269
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
9600 Issued in MN
Practice address
6545 France Ave S
Suite 210
Edina, MN 55435-2131
Phone
(952) 928-2900
Fax
(952) 928-2944
NPI assigned
Jun 24, 2006
Last updated
Apr 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 9600 MN Primary

Addresses

Primary practice location

6545 France Ave S
Suite 210
Edina, MN 55435-2131

Mailing address

6545 France Ave S
Suite 210
Edina, MN 55435-2131
Phone (952) 928-2900

Other names 1

  • Suzanne Odenbach Former name

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
I20060109000523 MN Practitioner - Physician Assistant 4587687256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minnesota Oncology Hematology PAGroup PAC ID 6709799752, 131 clinicians

Practice addresses (Care Compare)

6545 France Ave S
Suite 210
Edina, MN 55435-2281
Phone (952) 928-2900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.19 of 100Reported as apm
Quality
72.34
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9600MNMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Oncology Hematology, PA Surgical CurrentSince Apr 1, 2008 Accepting new patients
Minnesota Oncology Hematology PA CurrentSince Apr 1, 2008 Accepting new patients
Minnesota Oncology Hematology, PA PastSince Jan 12, 2020 Accepting new patients
Minnesota Oncology Hematology, PA Surgical Past Accepting new patients

Locations

1175 Paysphere Cir
Chicago, IL 60674

675 E Nicollet Blvd
Ste 100
Burnsville, MN 55337
Phone (952) 435-8516

110105 Pioneer Trl W
Ste 302
Chaska, MN 55318
Phone (952) 361-5800

10150 Niagara Ln N
#100
Maple Grove, MN 55369
Phone (763) 220-1316

11850 Blackfoot St NW
Ste 100
Minneapolis, MN 55433
Phone (763) 712-2100

480 Osborne Rd NE
Ste 220
Minneapolis, MN 55432
Phone (763) 786-1620

6545 France Ave S
Ste 210
Minneapolis, MN 55435
Phone (952) 928-2900

910 E 26th St
Ste 100200
Minneapolis, MN 55404
Phone (612) 884-6300

2805 Campus Dr
Ste 105
Plymouth, MN 55441
Phone (763) 519-7440

1580 Beam Ave
Saint Paul, MN 55109
Phone (651) 255-8480

2550 University Ave W
Ste 105N
Saint Paul, MN 55114
Phone (651) 602-5335

310 Smith Ave N
Ste 100
Saint Paul, MN 55102
Phone (651) 251-5500

560 S Maple St
Ste 100
Waconia, MN 55387
Phone (952) 442-6006

6025 Lake Rd
Ste 110
Woodbury, MN 55125
Phone (651) 735-7414

Interoperability endpoints

  • Direct secure messaging: suzanne.rudi@moh.ikm.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1407882269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 FRANCE AVE S",
            "address_2": "SUITE 210",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352131",
            "telephone_number": "952-928-2900",
            "fax_number": "952-928-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 FRANCE AVE S",
            "address_2": "SUITE 210",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352131",
            "telephone_number": "952-928-2900",
            "fax_number": "952-928-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDI",
        "first_name": "SUZANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MN",
            "license": "9600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "ODENBACH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.