Ahmed Abuzaanona
Individual provider Active NPI Cardiovascular Disease Physician · Fargo, ND
NPI 1104209378 · NPPES record last updated Feb 24, 2022
Key facts
- NPI
- 1104209378
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 17378 (ND)
- Practice address
- 801 Broadway N
Fargo, ND 58102-3641 - Phone
- (701) 234-2000
- NPI assigned
- Jul 6, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 18
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sanford Medical Center Fargo
Practice addresses (Care Compare)
1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445
21 Wiley Ave S
Lidgerwood, ND 58053-4001
Phone (701) 538-4189
2400 32ND Ave S
Fargo, ND 58103-5800
Phone (701) 234-2000
300 2ND Ave NE
Jamestown, ND 58401-3373
Phone (701) 251-6000
332 2ND Ave N
Wahpeton, ND 58075-4528
Phone (701) 642-7000
420 S 7TH St
Oakes, ND 58474-2024
Phone (701) 742-3267
520 Chautauqua Blvd
Valley City, ND 58072-3145
Phone (701) 845-6000
5225 23Rd Ave S
Fargo, ND 58104-7927
Phone (701) 417-2575
618 14TH Ave NE
Devils Lake, ND 58301-2808
Phone (701) 544-7000
801 Broadway N
Fargo, ND 58102-3641
Phone (701) 234-2000
Hospital & facility affiliations
- Sanford Medical Center Fargo
- Perham Health
- Sanford Medical Center Bismarck
- Sanford Mayville
- Riverview Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.39 of 100
- Quality
- 91.62
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 66.36
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.73 of 100
- Quality
- 71.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.68
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211008002668 | ND | Practitioner - Cardiovascular Disease (Cardiology) |
8527376813 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center Fargo | Internal Medicine | Current |
Accepting new patients |
| Sanford Medical Center Fargo | Current |
Accepting new patients | |
| Sanford Medical Center Fargo | Cardiovascular Disease | Past | Accepting new patients |
Locations
2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800
801 Broadway N
Fargo, ND 58102
Phone (701) 234-5121
1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301108170 | MI | |
| Cardiovascular Disease Physician | 207RC0000X | 17378 | ND | Yes |
Addresses
Primary practice location
801 Broadway N
Fargo, ND 58102-3641
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other providers in Fargo, ND
- Samer Abu Ammra
- Suha Faisal Omar Abu Khalaf
- Marwan M.B. Abu Minshar
- Abu Nafs PLLC
- Bremen Abuhl
- Ac Psychological Services LLC
- Access Independent Health Services, Inc.
- Access Safe Care, LLC
- Access Safe Care, LLC
- Accurate Home Care of North Dakota, LLC
All providers in Fargo, ND · Cardiovascular Disease Physician in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.