NPIMap

Individual provider Active NPI

Adam Jangula

  • Psychiatry Physician
  • Minot, ND
National Provider Identifier
1124467741
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
14261 Issued in ND
Practice address
1015 S Broadway Ste 18
Minot, ND 58701-4667
Phone
(701) 328-5492
NPI assigned
Jun 17, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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 14261 ND Primary

Addresses

Primary practice location

1015 S Broadway Ste 18
Minot, ND 58701-4667

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160823002431 ND Practitioner - Psychiatry 7214222736 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of North Dakota School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Central Human Service Center 23 clinicians
Northwest Human Service Center 12 clinicians

Practice addresses (Care Compare)

1015 S Broadway
Suite 18
Minot, ND 58701-4667
Phone (701) 857-8500

316 2ND Ave W
Williston, ND 58801-5218
Phone (701) 774-4600

Hospital & facility affiliations

  • Trinity Hospitals Hospital, Minot, ND, CCN 350006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14261NDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Behavioral Health Clinic CurrentSince Jul 26, 2024 Accepting new patients
Northeast Human Service Center CurrentSince Nov 1, 2024 Accepting new patients
North Central Behavioral Health Clinic CurrentSince May 22, 2023 Accepting new patients
Northeast Behavioral Health Clinic CurrentSince Nov 1, 2024 Accepting new patients
South Central Behavioral Health Clinic CurrentSince Nov 1, 2024 Accepting new patients
Lake Region Behavioral Health Clinic CurrentSince Nov 1, 2024 Accepting new patients
West Central Behavioral Health Clinic CurrentSince Nov 1, 2024 Accepting new patients
Badlands Behavioral Health Clinic CurrentSince Nov 1, 2024 Accepting new patients
Southeast Behavioral Health Clinic CurrentSince Nov 1, 2024 Accepting new patients
Badlands Behavioral Health Clinic PastSince Nov 1, 2024 Accepting new patients

Locations

1237 W Divide Ave
Ste 5
Bismarck, ND 58501
Phone (701) 328-8888

600 E Boulevard Ave
Dept 325
Bismarck, ND 58505
Phone (701) 328-4644

200 Highway 2 W
Devils Lake, ND 58301
Phone (701) 665-2200

1463 I94 Business Loop E
Dickinson, ND 58601
Phone (701) 227-7500

2624 9th Ave SW
Fargo, ND 58103
Phone (701) 298-4500

151 S 4th St
Ste 401
Grand Forks, ND 58201
Phone (701) 795-3000

520 3rd St NW
Jamestown, ND 58401
Phone (701) 253-6300

1015 S Broadway
Ste 18
Minot, ND 58701
Phone (701) 857-8500

316 2nd Ave W
Williston, ND 58801
Phone (701) 774-4600

Organizations & group practices 10

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 6

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": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1124467741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S BROADWAY STE 18",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587014667",
            "telephone_number": "701-328-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANGULA",
        "first_name": "ADAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-17",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ND",
            "license": "14261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

Verify at the official NPI Registry.