Individual provider Active NPI

Nicholas C Mahr, MD

  • Cardiovascular Disease Physician
  • Bismarck, ND
National Provider Identifier
1003923780
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
10359 Issued in ND
Practice address
310 N 10TH Street
Bismarck, ND 58501-4516
Phone
(701) 530-7500
Fax
(701) 530-7484
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X LT10359 ND
Cardiovascular Disease Physician 207RC0000X 10359 ND Primary

Addresses

Primary practice location

310 N 10TH Street
Bismarck, ND 58501-4516

Mailing address

310 N 10TH Street
Bismarck, ND 58501-4516
Phone (701) 530-7500

Other identifiers 1

IdentifierTypeStateIssuer
13910MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10359NDMDCardiovascular Disease Physician
LT10359NDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Alexius Medical Center CurrentSince Jul 10, 2011 Accepting new patients
St Alexius Medical Center CurrentSince Jul 10, 2011 Accepting new patients
Regional Cardiology Consultants, PC Cardiovascular Disease Past Accepting new patients
Advanced Heart Center LLC Cardiovascular Disease Past Accepting new patients
Hartford Physician Services PC Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

310 N 10th St
Bismarck, ND 58501
Phone (701) 530-7500

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/southwe-491dcf64

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306281600000",
    "number": "1003923780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N 10TH STREET",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014516",
            "telephone_number": "701-530-7500",
            "fax_number": "701-530-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N 10TH STREET",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014516",
            "telephone_number": "701-530-7500",
            "fax_number": "701-530-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHR",
        "first_name": "NICHOLAS",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2011-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "ND",
            "license": "LT10359",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "ND",
            "license": "10359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13910",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.