Individual provider Active NPI

Patrick D. Sura, M.D.

  • Emergency Medicine Physician
  • Amery, WI
National Provider Identifier
1598706194
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
27820 Issued in WI
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

Updated by the provider on May 10, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
31389500MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040330001780 WI Practitioner - Family Practice 4486566049 Reassigns benefits to 6 organizations
I20211124001273 MN Practitioner - Family Practice 4486566049 Reassigns benefits to 2 organizations

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
Hudson Physicians SCGroup PAC ID 2668607557, 62 clinicians

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

LicenseStateTypeSpecialty
27820WIMDEmergency Medicine Physician
27820020WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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. CurrentSince Jul 1, 2013 Accepting new patients
Group Health, Inc. CurrentSince Oct 15, 2021 Accepting new patients
Westfields Hospital, Inc CurrentSince Oct 1, 2013 Accepting new patients
Hudson Physicians, S.C. Family Medicine CurrentSince Aug 6, 2025 Accepting new patients
Westfields Hospital, Inc. Family Medicine CurrentSince Oct 1, 2013 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Jul 1, 2013 Accepting new patients
Group Health, Inc. CurrentSince Jan 13, 2025 Accepting new patients
Group Health, Inc. CurrentSince Oct 15, 2021 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.

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": "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

Verify at the official NPI Registry.