Active NPI
Ali Novin, MD
- Physical Medicine & Rehabilitation Physician
- Fargo, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 22534
- Practice address
- 736 Broadway N
Fargo, ND 58102-4421 - Phone
- (701) 234-2000
- NPI assigned
- Aug 12, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 75610 | IA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 75610 | MN | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 22534 | ND | Primary |
Addresses
Primary practice location
736 Broadway N
Fargo, ND 58102-4421
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other practice location 1
909 Fulton St SE
Minneapolis, MN 55455-4800
Phone (612) 627-7422
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445
5225 23Rd Ave S
Fargo, ND 58104-7927
Phone (701) 417-2575
736 Broadway N
Fargo, ND 58102-4421
Phone (701) 234-2000
737 Broadway N
Fargo, ND 58102-4421
Phone (701) 234-2000
801 Broadway N
Fargo, ND 58102-3641
Phone (701) 234-2000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.63 of 100
- Quality
- 75.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75610 | IA | MD | Physical Medicine & Rehabilitation Physician |
| 75610 | MN | MD | Physical Medicine & Rehabilitation Physician |
| 22534 | ND | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Past | Accepting new patients | |
| Fairview Health Services | Past | Accepting new patients |
Locations
500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300
420 Delaware St SE
Unit MMC297
Minneapolis, MN 55455
720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383
720 Washington Ave SE
Ste 300
Minneapolis, MN 55414
Phone (612) 884-0769
2945 Hazelwood St
Ste 200
Saint Paul, MN 55109
Phone (612) 440-6315
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700
1720 University Dr S
Fargo, ND 58103
Phone (701) 280-4140
5225 23rd Ave S
Fargo, ND 58104
Phone (701) 234-5933
801 Broadway N
Fargo, ND 58102
Phone (701) 234-5121
736 Broadway N
Fargo, ND 58102
Phone (701) 234-2353
1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445
Organizations & group practices 11
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.
-
dba Sanford 1717 Medical Building
- Family Medicine Physician
- West Fargo, ND
- NPI 1184917924
-
dba Sanford Health Forman Clinic
- Rural Health Clinic/Center
- Forman, ND
- NPI 1073520003
-
dba Sanford POWER Center
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
-
dba M Health Fairview Recovery Clinic
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
dba University of Minnesota Physician Heart at Fairview - Lakes
- Specialist
- Wyoming, MN
- NPI 1346587805
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
dba M Health Fairview Specialty Clinic Beam
- Clinic/Center
- Maplewood, MN
- NPI 1164154316
-
dba HealthEast Professional Services
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1508191552
-
dba HealthEast Vadnais Heights Clinic
- Clinic/Center
- Vadnais Heights, MN
- NPI 1639125503
-
dba Fairview Acute Rehabilitation Center
- Rehabilitation Hospital Unit
- Minneapolis, MN
- NPI 1851378038
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sanford 1717 Medical Building
- Family Medicine Physician
- West Fargo, ND
- NPI 1184917924
Hospital
-
dba Sanford Physical Therapy
- General Acute Care Hospital
- Fargo, ND
- NPI 1245519081
-
dba Sanford POWER Center
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
-
dba Sanford Bemidji
- Ambulatory Surgical Clinic/Center
- Bemidji, MN
- NPI 1093876922
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1124674635",
"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": "736 BROADWAY N",
"city": "FARGO",
"state": "ND",
"postal_code": "581024421",
"telephone_number": "701-234-2000"
}
],
"practiceLocations": [
{
"address_1": "909 Fulton St SE",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554554800",
"country_code": "US",
"telephone_number": "612-627-7422",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOVIN",
"first_name": "ALI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-12",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IA",
"license": "75610",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MN",
"license": "75610",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "ND",
"license": "22534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.