SOMU SUPPIAH (M.D.) – Radiation Oncology Physician, NPI 1508205311

SOMU SUPPIAH (M.D.) is a healthcare provider. based in Edina, Minnesota. specializing in RADIATION ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. 5104-850 (WI). The NPI Number for SOMU SUPPIAH (M.D.) is 1508205311

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
SOMU SUPPIAH (M.D.)
NPI
1508205311
Phone
(952) 920-4915
Address
7401 METRO BLVD STE 210
Enumeration Date
14 June 2013
Last Update Date
28 November 2023

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7152432950
Graduation Year
2013 (13 years ago)
PAC ID
7810216785
Group Practice PAC ID
8527951094
Professional Enrollment ID
I20181212000933
Address ID
WI540171449NE501XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:12State licenses:2Digital endpointsOther names

157 RADIATION ONCOLOGY in MN

Provider Addresses for SOMU SUPPIAH (M.D.)

  • 7401 METRO BLVD STE 210

    EDINA, MN 554393086

    Phone: (952) 920-4915

    Type: Mailing

  • 6500 EXCELSIOR BLVD DEPT OF

    ST LOUIS PARK, MN 55426

    Phone: (952) 993-6032

    Type: Location

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: 2018-12-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180726000877IRadiation OncologyMNTBD
I20181212000933IRadiation OncologyWITBD

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
77014Ct guidance for insertion of radiation therapy fields903118$0
77427Radiation treatment management, 5 treatment sessions23267$0
77300Calculation of radiation therapy dose20460$0
77334Design and construction of complex radiation treatment device15869$0
77263Complex radiation therapy planning6966$0
View full utilization report →

Insurance plans in this area (ZIP 55439)

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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: 8527951094View full group profile
NameSpecialtyState
-MN
Radiation OncologyMN
-MN
Radiation OncologyMN
Radiation OncologyMN
-SD
Radiation OncologyMN
Radiation OncologyMN
Radiation OncologyCA
Radiation OncologyMN

Reviews

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Frequently asked questions

Can I cross-check SOMU SUPPIAH (M.D.) using NPI 1508205311?
NPI 1508205311 belongs to SOMU SUPPIAH (M.D.); compare other details if you need extra assurance.
Is there an active status for SOMU SUPPIAH (M.D.)?
For scheduling context, SOMU SUPPIAH (M.D.) is shown as active in the registry.
What clinical focus is listed for SOMU SUPPIAH (M.D.)?
At a glance, SOMU SUPPIAH (M.D.) is tied to Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
Is SOMU SUPPIAH (M.D.) located near Edina?
SOMU SUPPIAH (M.D.) currently maps to Edina, Minnesota in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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