Active NPI
Benjamin D Suhr, M.D.
- Surgery Physician
- Maplewood, MN
National Provider Identifier
1720029630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 39524
- Practice address
- 1973 Sloan PL
#225
Maplewood, MN 55117-2084 - Phone
- (651) 224-1347
- Fax
- (651) 776-0932
- NPI assigned
- Jun 10, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 39524 | MN | Primary |
Addresses
Primary practice location
1973 Sloan PL
#225
Maplewood, MN 55117-2084
Mailing address
1973 Sloan PL
#225
Maplewood, MN 55117-2084
Phone (651) 224-1347
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34075700 | Medicaid | WI |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100910001083 | MN | Practitioner - General Surgery | 5496857252 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39524 | MN | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1720029630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1973 SLOAN PL",
"address_2": "#225",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551172084",
"telephone_number": "651-224-1347",
"fax_number": "651-776-0932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1973 SLOAN PL",
"address_2": "#225",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551172084",
"telephone_number": "651-224-1347",
"fax_number": "651-776-0932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUHR",
"first_name": "BENJAMIN",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MN",
"license": "39524",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34075700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.