Active NPI
Patrick D. Sura, M.D.
- Emergency Medicine Physician
- Amery, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 27820
- Practice address
- 265 Griffin St E
Amery, WI 54001-1439 - Phone
- (715) 268-8000
- Fax
- (715) 268-0311
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 27820020 | WI | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 27820 | WI | |
| Emergency Medicine Physician | 207P00000X | 27820 | WI | Primary |
Addresses
Primary practice location
265 Griffin St E
Amery, WI 54001-1439
Mailing address
265 Griffin St E
Amery, WI 54001-1439
Phone (715) 268-8000
Other practice location 1
535 Hospital Rd
New Richmond, WI 54017-1449
Phone (715) 243-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31389500 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MN
- 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
- Family Practice
- Education
- University of Wisconsin School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2651 Hillcrest Dr
Hudson, WI 54016-9914
Phone (715) 531-6800
8325 City Centre Dr
Suite 140
Woodbury, MN 55125-3323
Phone (715) 531-6800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27820 | WI | MD | Emergency Medicine Physician |
| 27820020 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Hudson Physicians, S.C. | Family Medicine | Current | Accepting new patients |
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Westfields Hospital, Inc | Current | Accepting new patients | |
| Hudson Physicians, S.C. | Family Medicine | Current | Accepting new patients |
| Westfields Hospital, Inc. | Family Medicine | Current | Accepting new patients |
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| The Duluth Clinic, LTD. | Past | Accepting new patients |
Locations
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
5715 Memorial Ave N
Ste 200
Stillwater, MN 55082
Phone (651) 366-6800
8325 City Centre Dr
Ste 140
Woodbury, MN 55125
Phone (651) 731-0859
265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301
230 Deronda St
Deronda, WI 54001
Phone (715) 268-0060
2651 Hillcrest Dr
Ste 303
Hudson, WI 54016
2651 Hillcrest Dr
Hudson, WI 54016
Phone (630) 632-2648
525 N Knowles Ave
#100
New Richmond, WI 54017
535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013
2600 65th Ave
Osceola, WI 54020
Phone (705) 268-8000
744 E Louisiana St
St Croix Fls, WI 54024
Phone (651) 772-6251
Organizations & group practices 11
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.
-
- Critical Access Hospital
- Amery, WI
- NPI 1093763518
-
- Rural Health Clinic/Center
- Turtle Lake, WI
- NPI 1538384466
-
- Rural Health Clinic/Center
- Luck, WI
- NPI 1851345268
-
- Family Medicine Physician
- New Richmond, WI
- NPI 1205589892
-
- Hematology & Oncology Physician
- Osceola, WI
- NPI 1477228070
-
- Pediatric Dentistry
- Minneapolis, MN
- NPI 1700932449
-
- General Practice Dentistry
- Saint Paul, MN
- NPI 1952042053
-
- Community/Retail Pharmacy
- Hinckley, MN
- NPI 1245081066
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- Amery, WI
- NPI 1275689903
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557446400000",
"number": "1598706194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 GRIFFIN ST E",
"city": "AMERY",
"state": "WI",
"postal_code": "540011439",
"telephone_number": "715-268-8000",
"fax_number": "715-268-0311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 GRIFFIN ST E",
"city": "AMERY",
"state": "WI",
"postal_code": "540011439",
"telephone_number": "715-268-8000",
"fax_number": "715-268-0311"
}
],
"practiceLocations": [
{
"address_1": "535 Hospital Rd",
"address_purpose": "LOCATION",
"city": "New Richmond",
"state": "WI",
"postal_code": "540171449",
"country_code": "US",
"telephone_number": "715-243-2600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SURA",
"first_name": "PATRICK",
"middle_name": "D.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2019-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "27820020",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "WI",
"license": "27820",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "27820",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31389500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amery, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.