NPIMap

Individual provider Active NPI

Calvin Tsogmo

  • Internal Medicine Physician
  • Bemidji, MN
National Provider Identifier
1063894293
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME159268 Issued in FL
Practice address
1300 Anne St NW
Bemidji, MN 56601
Phone
(218) 333-5000
NPI assigned
Jun 24, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 62769 MN
Internal Medicine Physician 207R00000X ME159268 FL Primary

Addresses

Primary practice location

1300 Anne St NW
Bemidji, MN 56601

Mailing address

119 Oakfield Dr
Brandon, FL 33511-5779
Phone (813) 681-5551

Other practice location 1

119 Oakfield Drive
Brandon, FL 33511
Phone (813) 571-6451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, FL, SD3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180814001608 MN Practitioner - Hospitalist 0446550248 Reassigns benefits to 4 organizations
I20240801002510 FL Practitioner - Internal Medicine 0446550248 Reassigns benefits to 2 organizations
I20240821004081 SD Practitioner - HospitalistPractitioner - Internal Medicine 0446550248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians
Cuyuna Regional Medical CenterGroup PAC ID 9537146550, shared by 3 NPIs, 133 clinicians

Practice addresses (Care Compare)

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

1345 W Bay Dr
202 Optum Largo
Largo, FL 33770-2276
Phone (727) 559-0895

2100 SE Salerno Rd
Stuart, FL 34997-6503
Phone (772) 223-2300

300 W 5TH St
Miller, SD 57362-1238
Phone (605) 853-0158

320 E Main St
Crosby, MN 56441-1645
Phone (218) 546-7000

901 E Virgil Ave
Milbank, SD 57252-2124
Phone (605) 432-4538

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62769MNMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Memorial Medical Center Inc CurrentSince Sep 9, 2025 Accepting new patients
Cuyuna Regional Medical Center Current Accepting new patients
Sanford Health of Northern Minnesota Current Accepting new patients
Martin Memorial Medical Center Inc Current Accepting new patients
Avera McKennan CurrentSince Jul 1, 2024 Accepting new patients
Range Regional Health Services CurrentSince Jul 15, 2022 Accepting new patients
Cuyuna Regional Medical Center CurrentSince Feb 1, 2024 Accepting new patients
Cuyuna Regional Medical Center CurrentSince Feb 1, 2024 Accepting new patients
Avera McKennan CurrentSince Jul 1, 2024 Accepting new patients
Sanford Health of Northern Minnesota Internal Medicine CurrentSince Jul 23, 2018 Accepting new patients
Range Regional Health Services CurrentSince Jul 15, 2022 Accepting new patients
Avera McKennan Current Accepting new patients
Optumcare Florida LLC Internal Medicine CurrentSince Jul 29, 2024 Accepting new patients
Optumcare Florida, LLC Hospitalist CurrentSince Jul 29, 2024 Accepting new patients

Locations

1989 W Lumsden Rd
Brandon, FL 33511
Phone (813) 653-3111

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895

2100 SE Salerno Rd
Stuart, FL 34997
Phone (772) 223-2300

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

1300 Anne St NW
Bemidji, MN 56601
Phone (218) 333-5794

320 E Main St
Crosby, MN 56441
Phone (218) 546-7000

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

1814 14th Ave E
Hibbing, MN 55746
Phone (218) 262-3441

402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

300 W 5th St
Miller, SD 57362
Phone (605) 853-0158

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ctsogmo727724@fairview.direct-ci.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1063894293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115779",
            "telephone_number": "813-681-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 ANNE ST NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "56601",
            "telephone_number": "218-333-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Oakfield Drive",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "33511",
            "country_code": "US",
            "telephone_number": "813-571-6451",
            "fax_number": "813-571-6439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSOGMO",
        "first_name": "CALVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-24",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MN",
            "license": "62769",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME159268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

Verify at the official NPI Registry.