Active NPI
Raymond Cherian
- Internal Medicine Physician
- Grand Forks, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- T5283
- Practice address
- 1200 S Columbia Rd
Grand Forks, ND 58201-4036 - Phone
- (701) 780-5000
- NPI assigned
- Apr 9, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 19777 | ND | |
| Hospitalist Physician | 208M00000X | DO3873 | ME | |
| Internal Medicine Physician | 207R00000X | T5283 | TX | Primary |
Addresses
Primary practice location
1200 S Columbia Rd
Grand Forks, ND 58201-4036
Mailing address
4610 N Saint Louis Ave
Chicago, IL 60625-5314
Phone (832) 998-0410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, TX, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230615003165 | ND | Practitioner - Hospitalist | 6800254277 | Reassigns benefits to 1 organization |
| I20240520003394 | TX | Practitioner - Internal Medicine | 6800254277 | Reassigns benefits to 1 organization |
| I20240614003965 | ME | Practitioner - Internal Medicine | 6800254277 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eastern Maine Medical Center
Practice addresses (Care Compare)
489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T5283 | TX | MD | Internal Medicine Physician |
| DO3873 | ME | MD | Hospitalist Physician |
| 19777 | ND | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altru Health System | Internal Medicine | Current | Accepting new patients |
| Eastern Maine Medical Center | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Eastern Maine Medical Center | Current | Accepting new patients |
Locations
489 State St
Bangor, ME 04401
Phone (207) 973-8837
489 State St
Ste A
Bangor, ME 04401
43 Whiting Hill Rd
Ste 250
Brewer, ME 04412
1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000
1200 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5243
2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150
18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
Interoperability endpoints
- raymond.cherian@hca7.eclinicaldirectplus.com
- 11551-cherian-raymond@direct.leadingreach.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
Internal Medicine, TX
-
- Ambulance
- Grand Forks, ND
- NPI 1114485315
-
- Rehabilitation Hospital Unit
- Bangor, ME
- NPI 1780674689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1003379884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4610 N SAINT LOUIS AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606255314",
"telephone_number": "832-998-0410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 S COLUMBIA RD",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014036",
"telephone_number": "701-780-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERIAN",
"first_name": "RAYMOND",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-09",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "ND",
"license": "19777",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "ME",
"license": "DO3873",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "T5283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.