Individual provider Active NPI

Ashish Vijayakumar Regulagadda, M.D.

  • Nephrology Physician
  • Fargo, ND
National Provider Identifier
1053559906
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
14956 Issued in ND
Practice address
736 Broadway N
Fargo, ND 58122
Phone
(701) 234-3360
Fax
(701) 234-3868
NPI assigned
Jan 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 14956 ND Primary

Addresses

Primary practice location

736 Broadway N
Fargo, ND 58122

Mailing address

PO Box 2010
Fargo, ND 58122-2784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180411002601 ND Practitioner - NephrologyPractitioner - Internal Medicine 8022296904 Reassigns benefits to 1 organization
I20200512002809 MN Practitioner - Nephrology 8022296904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sanford Medical Center Fargo 1,210 clinicians

Practice addresses (Care Compare)

1000 Coney St W
Perham, MN 56573-2102
Phone (218) 347-1200

1412 Main St
Hawley, MN 56549
Phone (218) 483-3564

300 N 7TH St
Bismarck, ND 58501-4439

712 S Cascade St
Fergus Falls, MN 56537-2913
Phone (218) 736-8000

736 Broadway N
Fargo, ND 58102-4421
Phone (701) 234-2000

907 S Mill St
Fergus Falls, MN 56537-2743
Phone (218) 739-6208

Hospital & facility affiliations

  • FMC Dialysis - Fergus Falls Dialysis facility, Fergus Falls, MN, CCN 242532
  • Sanford Dialysis Fargo Dialysis facility, Fargo, ND, CCN 353507
  • Sanford Medical Center Fargo Hospital, Fargo, ND, CCN 350011
  • Prairie Ridge Hospital and Health Services Hospital, Elbow Lake, MN, CCN 241379
  • Perham Health Hospital, Perham, MN, CCN 241373
  • Lake Region Healthcare Corporation Hospital, Fergus Falls, MN, CCN 240052
  • Sanford Hillsboro Hospital, Hillsboro, ND, CCN 351329

Merit-based Incentive Payment System (MIPS)

Final score
89.33 of 100Reported as group
Quality
93.68
Promoting interoperability
100
Improvement activities
40
Cost
70.75

Merit-based Incentive Payment System (MIPS)

Final score
87.39 of 100Reported as group
Quality
91.62
Promoting interoperability
100
Improvement activities
40
Cost
66.36

Merit-based Incentive Payment System (MIPS)

Final score
82.73 of 100Reported as group
Quality
71.75
Promoting interoperability
100
Improvement activities
40
Cost
70.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Fargo CurrentSince Mar 12, 2018 Accepting new patients
Sanford Medical Center Fargo CurrentSince Mar 12, 2018 Accepting new patients

Locations

736 Broadway N
Fargo, ND 58102
Phone (701) 234-2353

2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

Organizations & group practices 2

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1053559906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2010",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581222784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 BROADWAY N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58122",
            "telephone_number": "701-234-3360",
            "fax_number": "701-234-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGULAGADDA",
        "first_name": "ASHISH",
        "middle_name": "VIJAYAKUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-30",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "ND",
            "license": "14956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.