NPIMap

Individual provider Active NPI

Timothy Monari Nyarandi, MD

  • Family Medicine Physician
  • Wahpeton, ND
National Provider Identifier
1124222351
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10697 Issued in ND
Practice address
332 2ND Ave N
Wahpeton, ND 58075-4528
Phone
(701) 642-7000
Fax
(701) 642-7055
NPI assigned
Jun 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301083834 MI
Student in an Organized Health Care Education/Training Program 390200000X 4301083834 MI
Family Medicine Physician 207Q00000X PT 10697 ND
Family Medicine Physician 207Q00000X 10697 ND Primary

Addresses

Primary practice location

332 2ND Ave N
Wahpeton, ND 58075-4528

Mailing address

332 2ND Ave N
Wahpeton, ND 58075-4528
Phone (701) 642-7000

Other identifiers 2

IdentifierTypeStateIssuer
969447000MedicaidMN
14375MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20070831000195 ND Practitioner - Family Practice 5092808360 Reassigns benefits to 1 organization
I20070912000323 MN Practitioner - Family Practice 5092808360 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical Center FargoGroup PAC ID 8426967803, 1,210 clinicians
St Francis Medical CenterGroup PAC ID 8123937992, shared by 4 NPIs, 16 clinicians

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

2400 St Francis Dr
Breckenridge, MN 56520-1025
Phone (218) 643-3000

332 2ND Ave N
Wahpeton, ND 58075-4528
Phone (701) 642-7000

801 Broadway N
Fargo, ND 58102-3641
Phone (701) 234-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth19
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10697NDMDFamily Medicine Physician
PT 10697NDMDFamily Medicine Physician
4301083834MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Medical Center CurrentSince Dec 20, 2013 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jul 30, 2020 Accepting new patients
Sanford Health Network North CurrentSince Mar 25, 2018 Accepting new patients
Sanford Medical Center Fargo Family Medicine CurrentSince Jul 30, 2020 Accepting new patients
St. Francis Medical Center Current Accepting new patients
Sanford Health Network North CurrentSince Mar 25, 2018 Accepting new patients
St Francis Medical Center Past Accepting new patients
Sanford Medical Center Fargo Past Accepting new patients

Locations

3293 Solutions Ctr
Chicago, IL 60677

2400 St Francis Dr
Breckenridge, MN 56520
Phone (218) 643-0226

4000 28th Ave S
Moorhead, MN 56560
Phone (701) 234-3200

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

401 12th St N
Wheaton, MN 56296
Phone (320) 563-8226

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

332 2nd Ave N
Wahpeton, ND 58075
Phone (701) 642-7000

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

Interoperability endpoints

  • Direct secure messaging: tnyarandi307556@direct.thedacare.org

Organizations & group practices 8

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1124222351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 2ND AVE N",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580754528",
            "telephone_number": "701-642-7000",
            "fax_number": "701-642-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 2ND AVE N",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580754528",
            "telephone_number": "701-642-7000",
            "fax_number": "701-642-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYARANDI",
        "first_name": "TIMOTHY",
        "middle_name": "MONARI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301083834",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301083834",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "PT 10697",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "10697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "969447000",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14375",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wahpeton, ND

Sources for this page

Verify at the official NPI Registry.