NPIMap

Individual provider Active NPI

David John Thor Collins, MD

  • Emergency Medicine Physician
  • Ortonville, MN
National Provider Identifier
1104347426
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
66943 Issued in MN
Practice address
450 Eastvold Ave
Ortonville, MN 56278-1252
Phone
(320) 487-4388
NPI assigned
Jun 28, 2017
Last updated
Feb 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2017022153 MO
Emergency Medicine Physician 207P00000X 12225 SD
Emergency Medicine Physician 207P00000X 66943 MN Primary
General Practice Physician 208D00000X 66943 MN
General Practice Physician 208D00000X 12225 SD

Addresses

Primary practice location

450 Eastvold Ave
Ortonville, MN 56278-1252

Mailing address

450 Eastvold Ave
Ortonville, MN 56278-1252
Phone (320) 487-4388

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dcollins6583932@direct.sanfordhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, SD, ND3 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
I20200820001971 MN Practitioner - Emergency Medicine 8123398765 Reassigns benefits to 8 organizations
I20200828002095 SD Practitioner - Emergency Medicine 8123398765 Reassigns benefits to 1 organization
I20221114001917 ND Practitioner - Emergency Medicine 8123398765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of North Dakota School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortonville Area Health ServicesGroup PAC ID 2365448768, shared by 5 NPIs, 12 clinicians

Practice addresses (Care Compare)

1103 S 2ND St
Milbank, SD 57252-3304
Phone (605) 432-4556

450 Eastvold Ave
Ortonville, MN 56278-1252
Phone (320) 839-6157

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.21 of 100Reported as group
Quality
92.56
Promoting interoperability
100
Improvement activities
40
Cost
41.48

Merit-based Incentive Payment System (MIPS)

Final score
86.56 of 100Reported as group
Quality
74.25
Promoting interoperability
100
Improvement activities
40
Cost
76.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017022153MOMDEmergency Medicine Physician
12225SDMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ortonville Area Health Services CurrentSince Jun 29, 2020 Accepting new patients
Sanford Health Network North CurrentSince Aug 11, 2021 Accepting new patients
Glacial Ridge Hospital District CurrentSince Oct 1, 2024 Accepting new patients
Sanford Medical Center Fargo Emergency Medicine CurrentSince Oct 21, 2022 Accepting new patients
Glacial Ridge Hospital District Current Accepting new patients
Sanford Health Network North CurrentSince Aug 11, 2021 Accepting new patients
Sanford Health Network North Current Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Dec 31, 2021 Accepting new patients
Ortonville Area Health Services CurrentSince Jun 29, 2020 Accepting new patients
Sanford Medical Center Fargo CurrentSince Oct 21, 2022 Accepting new patients
Glacial Ridge Hospital District CurrentSince Oct 1, 2024 Accepting new patients
Lifecare Medical Center Current Accepting new patients
Healthpartners RC CurrentSince Nov 1, 2021 Accepting new patients
Healthpartners RC CurrentSince Nov 1, 2021 Accepting new patients
Sanford Health of Northern Minnesota Current Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Dec 31, 2021 Accepting new patients
Ortonville Area Health Services CurrentSince Aug 25, 2025 Accepting new patients

Locations

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

10 4th Ave SE
Glenwood, MN 56334
Phone (320) 634-5157

417 Franklin St S
Glenwood, MN 56334
Phone (320) 634-5157

100 Healthy Way
Olivia, MN 56277
Phone (320) 523-1261

450 Eastvold Ave
Ortonville, MN 56278
Phone (320) 839-2502

600 Pleasant Ave S
Park Rapids, MN 56470
Phone (218) 732-3311

1720 US Highway 59 SE
Thief Rvr Fls, MN 56701
Phone (218) 681-4747

3001 Sanford Pkwy
Thief Rvr Fls, MN 56701
Phone (218) 681-4240

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

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

1103 S 2nd St
Milbank, SD 57252
Phone (605) 423-4556

Interoperability endpoints

  • Direct secure messaging: dcollins6583932@direct.sanfordhealth.org
  • FHIR API: https://fhir-usa.unify.chbase.com/org/glac-1755385c

Organizations & group practices 18

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.

View all 18

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": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1104347426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 EASTVOLD AVE",
            "city": "ORTONVILLE",
            "state": "MN",
            "postal_code": "562781252",
            "telephone_number": "320-487-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 EASTVOLD AVE",
            "city": "ORTONVILLE",
            "state": "MN",
            "postal_code": "562781252",
            "telephone_number": "320-487-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "DAVID",
        "middle_name": "JOHN THOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-28",
        "last_updated": "2024-02-26",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2017022153",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SD",
            "license": "12225",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "66943",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MN",
            "license": "66943",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "SD",
            "license": "12225",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dcollins6583932@direct.sanfordhealth.org",
            "affiliation": "N",
            "address_1": "450 Eastvold Ave",
            "city": "Ortonville",
            "state": "MN",
            "country_code": "US",
            "postal_code": "562781252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ortonville, MN

Sources for this page

Verify at the official NPI Registry.