Individual provider Active NPI

Muhammad Fareed Khan Suri, MBBS

  • Neurology Physician
  • Minneapolis, MN
National Provider Identifier
1912054214
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
49243 Issued in MN
Practice address
University of Minnesota Physicians
516 Delaware St SE, Clinic 1a
Minneapolis, MN 55455
Phone
(612) 626-3004
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 49243 MN Primary
Neurology Physician 2084N0400X 25MA08004200 NJ

Addresses

Primary practice location

University of Minnesota Physicians
516 Delaware St SE, Clinic 1a
Minneapolis, MN 55455

Mailing address

University of Minnesota Physicians
420 Delaware St SE, MMC 295
Minneapolis, MN 55455
Phone (612) 626-3004

Other names 1

  • Dr. Muhammad Fareed Khan Suri Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, SD2 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
I20081021000508 MN Practitioner - NeurologyPractitioner - Other (Physician) 7911065867 Reassigns benefits to 2 organizations
I20230601002657 SD Practitioner - Neurology 7911065867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centracare ClinicGroup PAC ID 2466363395, 800 clinicians
St. Luke's Hospital of DuluthGroup PAC ID 7113834839, 409 clinicians

Practice addresses (Care Compare)

10 4TH Ave SE
Glenwood, MN 56334-1820
Phone (320) 634-4521

1200 6TH Ave N
Saint Cloud, MN 56303-2735

1200 6TH N Ave
Saint Cloud, MN 56303-2735
Phone (320) 252-5131

1406 6TH Ave N
St Cloud, MN 56303-1901

1406 6TH Ave No
St Cloud, MN 56303-1901

301 Becker Ave SW
Rice Memorial Hosptial
Willmar, MN 56201-3302
Phone (320) 235-4543

425 Elm St N
Sauk Centre, MN 56378-1010
Phone (320) 352-2221

49725 County
Suite 83
Staples, MN 56479-5280
Phone (218) 894-1033

525 Main St W
Centracare Health Sys Melrose
Melrose, MN 56352-1043
Phone (320) 256-4231

7418 Forthun Rd
Baxter, MN 56425-8702
Phone (218) 297-2048

915 E 1St St
Duluth, MN 55805-2107
Phone (218) 249-5555

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08004200NJMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Hospital of Duluth CurrentSince Jan 11, 2024 Accepting new patients
St. Luke's Hospital of Duluth CurrentSince Jan 11, 2024 Accepting new patients
St. Luke's Hospital of Duluth Current Accepting new patients
Centracare Clinic CurrentSince Jun 1, 2012 Accepting new patients
Sanford Medical Center CurrentSince Apr 12, 2023 Accepting new patients
Centracare Clinic Current Accepting new patients
Centracare Clinic CurrentSince Jun 1, 2012 Accepting new patients
Minneapolis Clinic of Neurology, LTD Neurology Past Accepting new patients
St. Cloud Hospital Past Accepting new patients
University of Minnesota Physicians Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352

1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860

420 Delaware St SE
#295
Minneapolis, MN 55455
Phone (612) 625-6519

420 Delaware St SE
#126
Minneapolis, MN 55455
Phone (612) 626-2378

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342

1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

3500 Tower Ave
Ste 1
Superior, WI 54880
Phone (715) 395-5457

Interoperability endpoints

  • Direct secure messaging: msuri1831@direct.centracare.com
  • Direct secure messaging: msuri237594@direct.aspirus.org

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 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912054214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF MINNESOTA PHYSICIANS",
            "address_2": "420 DELAWARE ST SE, MMC 295",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55455",
            "telephone_number": "612-626-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF MINNESOTA PHYSICIANS",
            "address_2": "516 DELAWARE ST SE, CLINIC 1A",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55455",
            "telephone_number": "612-626-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURI",
        "first_name": "MUHAMMAD FAREED",
        "middle_name": "KHAN",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MN",
            "license": "49243",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA08004200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MUHAMMAD FAREED",
            "last_name": "SURI",
            "middle_name": "KHAN",
            "prefix": "DR.",
            "credential": "MBBS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.