NPIMap

Individual provider Active NPI

Brent M Hella, M.D.

  • Internal Medicine Physician
  • Fargo, ND
National Provider Identifier
1245286988
Registry record updated Apr 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8491 Issued in ND
Practice address
4450 31St Ave S Ste 102
Fargo, ND 58104-4557
Phone
(701) 280-2033
Fax
(701) 232-5578
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Internal Medicine) Physician 207RB0002X 8491 ND
Internal Medicine Physician 207R00000X 8491 ND Primary

Addresses

Primary practice location

4450 31St Ave S Ste 102
Fargo, ND 58104-4557

Mailing address

4450 31St Ave S
Ste 102
Fargo, ND 58104-4557
Phone (701) 280-2033

Other identifiers 9

IdentifierTypeStateIssuer
21576OtherNDND BLUE SHIELD
11277MedicaidND
162D8HEOtherMNMN BLUE SHIELD
04-02251OtherMEDICA
129104OtherUCARE
632527100MedicaidMN
ND8491OtherTRICARE
1020227OtherPREFERRED ONE
H05798OtherNDND WORKERS COMP

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
I20041004000687 ND Practitioner - Internal Medicine 8820057177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Dakota School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medicine Associates IncGroup PAC ID 8527027879, 13 clinicians

Practice addresses (Care Compare)

4450 31St Ave S
Suite 102
Fargo, ND 58104-4557
Phone (701) 280-2033

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
56.21 of 100Reported as individual
Quality
87.85
Promoting interoperability
0
Improvement activities
40
Cost
49.5

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8491NDMDObesity Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Associates Inc Internal Medicine CurrentSince Feb 1, 2002 Accepting new patients
Joshua G Yorgason MD PLLC PastSince Apr 1, 2014 Accepting new patients
Paracelsus Healthcare Corp Past Accepting new patients

Locations

1707 Gold Dr S
Ste 101
Fargo, ND 58103
Phone (701) 280-2033

4450 31st Ave S
Ste 102
Fargo, ND 58104
Phone (701) 280-2033

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 and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554422400000",
    "number": "1245286988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 31ST AVE S",
            "address_2": "STE 102",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044557",
            "telephone_number": "701-280-2033",
            "fax_number": "701-232-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 31ST AVE S STE 102",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044557",
            "telephone_number": "701-280-2033",
            "fax_number": "701-232-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLA",
        "first_name": "BRENT",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "ND",
            "license": "8491",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ND",
            "license": "8491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ND BLUE SHIELD",
            "identifier": "21576",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11277",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BLUE SHIELD",
            "identifier": "162D8HE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "04-02251",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "129104",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "632527100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "ND8491",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1020227",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ND WORKERS COMP",
            "identifier": "H05798",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.