NPIMap

Individual provider Active NPI

Yara Letitia Cameron, MD

  • Interventional Cardiology Physician
  • Grand Forks, ND
National Provider Identifier
1245518802
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
PT17783 Issued in ND
Practice address
1300 S. Columbia Rd
Grand Forks, ND 58201
Phone
(701) 780-2300
NPI assigned
Aug 1, 2011
Last updated
Nov 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X PT17783 ND Primary

Addresses

Primary practice location

1300 S. Columbia Rd
Grand Forks, ND 58201

Mailing address

2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-6468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ID2 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
I20220411000880 MN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 3072803477 Reassigns benefits to 1 organization
I20241025003934 ID Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 3072803477 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pocatello Health Services LLCGroup PAC ID 6608927637, 171 clinicians

Practice addresses (Care Compare)

777 Hospital Way
Pocatello, ID 83201-5175
Phone (208) 234-2001

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting12
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PT17783NDMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lost Rivers Medical Center CurrentSince Jan 1, 2026 Accepting new patients
Pocatello Health Services, LLC CurrentSince Sep 1, 2024 Accepting new patients
Pocatello Health Services, LLC CurrentSince Sep 1, 2024 Accepting new patients
Lost Rivers Medical Center CurrentSince Jan 1, 2026 Accepting new patients
Pocatello Health Services, LLC Current Accepting new patients
Altru Health System CurrentSince Mar 1, 2022 Accepting new patients
Pocatello Hospital LLC Current Accepting new patients
Lost Rivers Medical Center Past Accepting new patients

Locations

777 Hospital Way
Ste 101
Pocatello, ID 83201
Phone (208) 234-2001

777 Hospital Way
Ste 202
Pocatello, ID 83201
Phone (208) 239-2640

400 S Minnesota St
Crookston, MN 56716
Phone (218) 281-9100

Interoperability endpoints

  • Direct secure messaging: ycameron1135102@ahs.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1245518802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 DEMERS AVE",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "58201",
            "telephone_number": "701-780-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S. COLUMBIA RD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "58201",
            "telephone_number": "701-780-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "YARA",
        "middle_name": "LETITIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "ND",
            "license": "PT17783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

Verify at the official NPI Registry.