Individual provider Active NPI

Michael Sanford Van Scoy

  • Internal Medicine Physician
  • Fargo, ND
National Provider Identifier
1164440228
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
37704 Issued in MN
Practice address
2000 44TH St S Ste 201&203
Fargo, ND 58103-7411
Phone
(218) 786-8364
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 37704 MN Primary

Addresses

Primary practice location

2000 44TH St S Ste 201&203
Fargo, ND 58103-7411

Mailing address

2000 44TH St S Ste 201&203
Fargo, ND 58103-7411
Phone (480) 494-2465

Other identifiers 2

IdentifierTypeStateIssuer
32057300MedicaidWI
713727300MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, GA, IL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250812000881 VT Practitioner - Internal Medicine 1557319357
I20251120001197 GA Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 1557319357
I20251211001495 IL Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 1557319357

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care
Education
Other, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

161 E Rivulon Blvd
Suite 210
Gilbert, AZ 85297-0087

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aim Healthcare Providers North Dakota, PC CurrentSince Mar 17, 2024 Accepting new patients
Arkos Health North Dakota LLC Internal Medicine CurrentSince Mar 17, 2024 Accepting new patients
Aim Healthcare Providers Mt, PLLC CurrentSince Oct 10, 2025 Accepting new patients
Aim Healthcare Providers Wy, LLC CurrentSince Jan 1, 2026 Accepting new patients
Aim Healthcare Providers VT, LLC CurrentSince Aug 1, 2025 Accepting new patients
Aim Healthcare Providers Mt, PLLC PastSince Oct 10, 2025 Accepting new patients
Aim Healthcare Providers Ga, PC Past Accepting new patients
Pine Medical Center PastSince Jan 1, 2007 Accepting new patients

Locations

161 E Rivulon Blvd
Ste 210
Gilbert, AZ 85297
Phone (480) 244-1724

2425 W Central Ave
Ste 203205
Missoula, MT 59801

2000 44th St S
Ste 201
Fargo, ND 58103

2000 44th St S
Ste 201203
Fargo, ND 58103
Phone (941) 704-7337

725 Community Dr
Ste 302
South Burlington, VT 05403

1621 Central Ave
Cheyenne, WY 82001
Phone (214) 984-1306

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1164440228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 44TH ST S STE 201&203",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581037411",
            "telephone_number": "480-494-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 44TH ST S STE 201&203",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581037411",
            "telephone_number": "218-786-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN SCOY",
        "first_name": "MICHAEL",
        "middle_name": "SANFORD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "37704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32057300",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "713727300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.