SUZANNE F PERMUTH – Family Medicine Physician, NPI 1265416572

SUZANNE F PERMUTH is a healthcare provider. based in St louis park, Minnesota. specializing in FAMILY PRACTICE. They hold a License No. 41401 (MN). The NPI Number for SUZANNE F PERMUTH is 1265416572

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
SUZANNE F PERMUTH
NPI
1265416572
Phone
(952) 993-6450
Address
6465 WAYZATA BLVD
Enumeration Date
30 November 2005
Last Update Date
12 March 2021

Doctor Profile

Medical School Name
STANFORD UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9529933123
Graduation Year
1995 (31 years ago)
PAC ID
6608069836
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20101020001214
Address ID
MN554162527ST3850XBLVD400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,076 FAMILY PRACTICE in MN

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Provider Addresses for SUZANNE F PERMUTH

  • Wayzata Boulevard, Blackstone, Saint Louis Park, Hennepin County, Minnesota, 55416, United States

    STE 315

    ST LOUIS PARK, MN 554261728

    Phone: (952) 993-6450

    Fax: (952) 993-0300

    Type: Mailing

  • Park Nicollet Clinic, 1885, Plaza Drive, Eagan, Dakota County, Minnesota, 55122, United States

    PARK NICOLLET CLINIC EAGAN

    EAGAN, MN 551222612

    Phone: (952) 993-2001

    Type: Location

  • 8170 33RD AVE S # MS 21110Q

    BLOOMINGTON, MN 554254516

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-10-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101020001214IFamily PracticeMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample14597$0
84460Liver enzyme (sgpt), level122100$0
82947Blood glucose (sugar) level122106$0
82565Blood creatinine level122102$0
99214Established patient office or other outpatient visit, 30-39 minutes12080$0
View full utilization report →

Insurance plans in this area (ZIP 55426)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

What is the standard ID for SUZANNE F PERMUTH in the U.S.?
In the U.S., SUZANNE F PERMUTH is identified by NPI 1265416572.
Is SUZANNE F PERMUTH's NPI status active today?
Active status means SUZANNE F PERMUTH's NPI record is not deactivated in the public file.
What does the directory say SUZANNE F PERMUTH does?
Insurance directories may phrase it differently, but here SUZANNE F PERMUTH maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to SUZANNE F PERMUTH?
The directory associates SUZANNE F PERMUTH with St Louis Park, Minnesota. Check all listed addresses for suites or satellite offices.
Why is information missing for SUZANNE F PERMUTH?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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