Individual provider Active NPI

Fetih Akgul, MD

  • Psychiatry Physician
  • Fargo, ND
National Provider Identifier
1093807182
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
PT10106 Issued in ND
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
13619MedicaidND
26215OtherNDBCBS
381G1AKOtherMNBCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051114001098 ND Practitioner - Psychiatry 8224057724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PSJ Acquisition LLCGroup PAC ID 7012062235, 26 clinicians

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

LicenseStateTypeSpecialty
PT10106NDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PSJ Acquisition LLC Psychiatry CurrentSince Sep 1, 2009 Accepting new patients
PSJ Acquisition LLC CurrentSince Sep 1, 2009 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.

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

Verify at the official NPI Registry.