NPIMap

Individual provider Active NPI

Ibkhan Ansine, MD

  • Emergency Medicine Physician
  • Mora, MN
National Provider Identifier
1194786467
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
41439 Issued in MN
Practice address
301 Highway 65 S
Mora, MN 55051-1899
Phone
(320) 225-3335
Fax
(320) 225-3345
NPI assigned
Mar 28, 2006
Last updated
Jun 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 41439 MN Primary
Family Medicine Physician 207Q00000X 41439 MN

Addresses

Primary practice location

301 Highway 65 S
Mora, MN 55051-1899

Mailing address

301 Highway 65 S
Mora, MN 55051-1899
Phone (320) 225-3335

Other practice location 1

249 5th St E
Tracy, MN 56175-1536
Phone (507) 629-8400

Other identifiers 2

IdentifierTypeStateIssuer
795723800MedicaidMN
12D50ANOtherMNBC PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, SD2 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
I20090409000659 MN Practitioner - Family PracticePractitioner - Emergency Medicine 7214084185 Reassigns benefits to 5 organizations
I20240411001232 SD Practitioner - Family Practice 7214084185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Health NetworkGroup PAC ID 6800707100, shared by 49 NPIs, 357 clinicians
Sanford Medical CenterGroup PAC ID 8325950215, 847 clinicians

Practice addresses (Care Compare)

112 Saint Olaf Ave S
Canby, MN 56220-1433
Phone (507) 223-7277

1601 Sioux Valley Dr
Luverne, MN 56156-4500
Phone (507) 283-4476

2150 Hospital Dr
Windom, MN 56101-1287
Phone (605) 328-8900

249 5TH St E
Tracy, MN 56175-1536
Phone (507) 629-8400

251 5TH St E
Tracy, MN 56175-1536
Phone (507) 629-8400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.53 of 100Reported as group
Quality
80.98
Promoting interoperability
100
Improvement activities
40
Cost
70.78

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network Current Accepting new patients
Sanford Health Network Family Medicine Current Accepting new patients
Sanford Health Network CurrentSince Jan 26, 2019 Accepting new patients
Sanford Health Network Current Accepting new patients
Sanford Health Network CurrentSince Jan 26, 2019 Accepting new patients
Sanford Health Network Emergency Medicine Current Accepting new patients
Sanford Health Network CurrentSince Mar 15, 2024 Accepting new patients
Sanford Health Network Current Accepting new patients
Sanford Health Network Family Medicine PastSince Jun 28, 2020 Accepting new patients
Hutchinson Health Past Accepting new patients
United Hospital District Inc. PastSince Oct 31, 2021 Accepting new patients

Locations

1600 N Kniss Ave
Luverne, MN 56156
Phone (507) 283-2321

1601 Sioux Valley Dr
Luverne, MN 56156
Phone (507) 283-4476

249 5th St E
Tracy, MN 56175
Phone (507) 629-3520

830 8th St
Walnut Grove, MN 56180
Phone (507) 859-2157

920 Bell Ave
Westbrook, MN 56183
Phone (507) 274-1150

1018 6th Ave
Worthington, MN 56187
Phone (507) 343-6100

701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141

20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 9

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1194786467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HIGHWAY 65 S",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550511899",
            "telephone_number": "320-225-3335",
            "fax_number": "320-225-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HIGHWAY 65 S",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550511899",
            "telephone_number": "320-225-3335",
            "fax_number": "320-225-3345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "249 5th St E",
            "address_purpose": "LOCATION",
            "city": "Tracy",
            "state": "MN",
            "postal_code": "561751536",
            "country_code": "US",
            "telephone_number": "507-629-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANSINE",
        "first_name": "IBKHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "41439",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "41439",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "795723800",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC PROVIDER NUMBER",
            "identifier": "12D50AN",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mora, MN

Sources for this page

Verify at the official NPI Registry.