NPIMap

Individual provider Active NPI

Kulvinder Sumra, MD

  • Family Medicine Physician
  • Cavalier, ND
National Provider Identifier
1184760274
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4914 Issued in ND
Practice address
301 Mountain St E
Cavalier, ND 58220-4015
Phone
(701) 265-6307
NPI assigned
Jan 29, 2007
Last updated
Jul 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4914 ND Primary

Addresses

Primary practice location

301 Mountain St E
Cavalier, ND 58220-4015

Mailing address

PO Box 380
Cavalier, ND 58220-0380

Other identifiers 1

IdentifierTypeStateIssuer
MEDICAIDMedicaidND

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
I20110127000309 ND Practitioner - Family Practice 0244423564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

301 Mountain St E
Cavalier, ND 58220-4015
Phone (701) 265-8461

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pembina County Memorial Hospital Association CurrentSince Apr 1, 2002 Accepting new patients
Pembina County Memorial Hospital Association CurrentSince Apr 1, 2002 Accepting new patients
Pembina County Memorial Hospital Association Past Accepting new patients

Locations

301 Mountain St E
Cavalier, ND 58220
Phone (701) 265-6307

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
County Memorial HospitalCavalier, ND, CCN 351319 Hospital Corporate Director Aug 16, 2010
Wedgewood ManorCavalier, ND, CCN 355087 Skilled nursing facility Corporate Officer
Corporate Director
Managing Control - Governing Body
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025
Jan 1, 2025
May 13, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1184760274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380",
            "city": "CAVALIER",
            "state": "ND",
            "postal_code": "582200380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MOUNTAIN ST E",
            "city": "CAVALIER",
            "state": "ND",
            "postal_code": "582204015",
            "telephone_number": "701-265-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMRA",
        "first_name": "KULVINDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "4914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MEDICAID",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cavalier, ND

Sources for this page

Verify at the official NPI Registry.