Active NPI
Fetih Akgul, MD
- Psychiatry Physician
- Fargo, ND
National Provider Identifier
1093807182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- PT10106
- Practice address
- 510 4TH St South
Prairie St Johns LLC
Fargo, ND 58107 - Phone
- (701) 476-7200
- NPI assigned
- Sep 28, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | PT10106 | ND | Primary |
Addresses
Primary practice location
510 4TH St South
Prairie St Johns LLC
Fargo, ND 58107
Mailing address
901 42ND St SW
Apt # 202
Fargo, ND 58103
Phone (701) 306-9890
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13619 | Medicaid | ND | |
| 26215 | Other | ND | BCBS |
| 381G1AK | Other | MN | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
510 4TH St S
Fargo, ND 58103-1914
Phone (701) 476-7200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT10106 | ND | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PSJ Acquisition LLC | Psychiatry | Current | Accepting new patients |
| PSJ Acquisition LLC | Current | Accepting new patients | |
| Prairie St Johns | Past | Accepting new patients |
Locations
510 4th St S
Fargo, ND 58103
Phone (701) 476-7200
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric Hospital
- Fargo, ND
- NPI 1417901000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093807182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 42ND ST SW",
"address_2": "APT # 202",
"city": "FARGO",
"state": "ND",
"postal_code": "58103",
"telephone_number": "701-306-9890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 4TH ST SOUTH",
"address_2": "PRAIRIE ST JOHNS LLC",
"city": "FARGO",
"state": "ND",
"postal_code": "58107",
"telephone_number": "701-476-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKGUL",
"first_name": "FETIH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ND",
"license": "PT10106",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13619",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "26215",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "381G1AK",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.