Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Surekha Pagidipala

Individual provider Family Medicine Physician · NPI 1366420804

Surekha Pagidipala is a Family Practice in Bloomington, Minnesota. Graduated from University of Minnesota Medical School in 2002, 24 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
24
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2006

Practice location Address checks out

5320 Hyland Greens Dr
Bloomington, MN 55437-3934
Phone: (952) 993-2400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 47253 (MN)

Record details

NPI number1366420804
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 5, 2006
Last updated in NPPESMarch 9, 2021
Certification dateMarch 9, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2002 (24 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Bloomington