Individual provider Active NPI

Timothy Blaufuss, D.O.

  • Pediatric Gastroenterology Physician
  • Fargo, ND
National Provider Identifier
1245597384
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
15004 Issued in ND
Practice address
3284 51St St S Unit 3
Fargo, ND 58104-7983
Phone
(701) 532-2242
Fax
(701) 532-2518
NPI assigned
Apr 13, 2012
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X 64417 MN
Pediatrics Physician 208000000X 15004 ND
Pediatrics Physician 208000000X 64417 MN
Pediatric Gastroenterology Physician 2080P0206X 18942 SD
Pediatric Gastroenterology Physician 2080P0206X 15004 ND Primary

Addresses

Primary practice location

3284 51St St S Unit 3
Fargo, ND 58104-7983

Mailing address

3284 51St St S Unit 3
Fargo, ND 58104-7983
Phone (701) 532-2242

Other practice location 1

1600 W 22nd St
Sioux Falls, SD 57105-1521
Phone (605) 312-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15004NDMDPediatrics Physician
64417MNMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Fargo Pediatrics CurrentSince Jul 23, 2018 Accepting new patients
Dakota Pediatric Gastroenterology Pediatric Gastroenterology CurrentSince Dec 7, 2025 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jul 23, 2018 Accepting new patients
Sanford Bismarck CurrentSince Mar 16, 2019 Accepting new patients
Sanford Bismarck CurrentSince Mar 16, 2019 Accepting new patients
Dakota Pediatric Associates PLLC Pediatrics PastSince Nov 18, 2025 Accepting new patients

Locations

2603 E Broadway Ave
Bismarck, ND 58501
Phone 7013235222 ext. 5733

3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300

2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800

3284 51st St S
Unit 3
Fargo, ND 58104
Phone (701) 532-2242

801 Broadway N
Fargo, ND 58102
Phone (701) 234-2371

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1245597384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3284 51ST ST S UNIT 3",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047983",
            "telephone_number": "701-532-2242",
            "fax_number": "701-532-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3284 51ST ST S UNIT 3",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047983",
            "telephone_number": "701-532-2242",
            "fax_number": "701-532-2518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 W 22nd St",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571051521",
            "country_code": "US",
            "telephone_number": "605-312-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAUFUSS",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-13",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "MN",
            "license": "64417",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ND",
            "license": "15004",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "64417",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "SD",
            "license": "18942",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "ND",
            "license": "15004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.