Individual provider Active NPI

Sue-Mi C Tuttle, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Edina, MN
National Provider Identifier
1447442702
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
51814 Issued in MN
Practice address
7450 France Ave S Ste 220
Edina, MN 55435-4792
Phone
(952) 925-1111
Fax
(952) 922-3446
NPI assigned
Aug 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 51814 MN
Plastic and Reconstructive Surgery Physician 2086S0122X 51814 MN Primary

Addresses

Primary practice location

7450 France Ave S Ste 220
Edina, MN 55435-4792

Mailing address

7450 France Ave S Ste 220
Edina, MN 55435-4792
Phone (952) 925-1111

Other names 1

  • Sue-Mi Cha Former name

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
I20090820000892 MN Practitioner - Plastic and Reconstructive Surgery 9335293638 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Texas Medical School at Houston, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians

Practice addresses (Care Compare)

2945 Hazelwood St
Suite 200
Maplewood, MN 55109-1243
Phone (651) 326-9462

440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225

7450 France Ave S
Suite 220
Edina, MN 55435-4792
Phone (952) 925-1111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51814MNMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System Current Accepting new patients
Southdale Specialty Surgery Center, LLC CurrentSince Dec 1, 2024 Accepting new patients
Healtheast Medical Research Institute CurrentSince Dec 19, 2024 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Allina Health System Current Accepting new patients
Bhatti Gi Surgery Center LLC CurrentSince Dec 1, 2024 Accepting new patients
Allina Health System CurrentSince Feb 1, 2022 Accepting new patients
Tuttle Plastic Surgery Plastic Surgery CurrentSince Oct 17, 2022 Accepting new patients
Allina Health System CurrentSince Jul 30, 2023 Accepting new patients
Healtheast Medical Research Institute CurrentSince Dec 19, 2024 Accepting new patients
Allina Health System CurrentSince Feb 1, 2022 Accepting new patients
Allina Health System Past Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

1447 White Oak Dr
Chaska, MN 55318
Phone (952) 368-3800

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

7450 France Ave S
Ste 220
Minneapolis, MN 55435
Phone (952) 925-1111

6500 Barrie Rd
Ste 300
Minneapolis, MN 55435
Phone (952) 368-3800

280 Smith Ave N
Ste 700
Saint Paul, MN 55102
Phone (651) 241-3535

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

2945 Hazelwood St
Ste 200
Saint Paul, MN 55109
Phone (612) 440-6315

2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800

Interoperability endpoints

  • Direct secure messaging: stuttle192139@fairview.direct-ci.com
  • Direct secure messaging: stuttle99980@excellian.direct.allina.com
  • Direct secure messaging: stuttle40696@direct.healthpartners.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1447442702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 FRANCE AVE S STE 220",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354792",
            "telephone_number": "952-925-1111",
            "fax_number": "952-922-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 FRANCE AVE S STE 220",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354792",
            "telephone_number": "952-925-1111",
            "fax_number": "952-922-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTTLE",
        "first_name": "SUE-MI",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MN",
            "license": "51814",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MN",
            "license": "51814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUE-MI",
            "last_name": "CHA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.