Individual provider Active NPI

Lorant Divald, M.D.

  • Surgery Physician
  • Amery, WI
National Provider Identifier
1275859670
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
68902 Issued in WI
Practice address
265 Griffin St E
Amery, WI 54001-1439
Phone
(715) 268-8000
Fax
(715) 268-0311
NPI assigned
Apr 12, 2010
Last updated
Jun 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 68902 WI Primary

Addresses

Primary practice location

265 Griffin St E
Amery, WI 54001-1439

Mailing address

8170 33Rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516

Other practice location 1

1 University Of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-6225

Other practice location 2

411 Stageline Rd
Hudson, WI 54016-7848
Phone (715) 531-6700

Other practice location 3

535 Hospital Rd
New Richmond, WI 54017-1449
Phone (715) 243-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151027000535 MN Practitioner - General SurgeryPractitioner - Plastic and Reconstructive Surgery 7719111020 Reassigns benefits to 3 organizations
I20190319001259 WI Practitioner - General Surgery 7719111020 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amery Regional Medical Center IncGroup PAC ID 2769391960, shared by 7 NPIs, 124 clinicians
Group Health IncGroup PAC ID 1759293954, 1,627 clinicians
Westfields Hospital IncGroup PAC ID 2264490960, 108 clinicians

Practice addresses (Care Compare)

265 Griffin E St
Amery, WI 54001-1439
Phone (715) 268-8000

265 Griffin St E
Amery, WI 54001-1439
Phone (715) 268-8000

411 Stageline Rd
Suite 200
Hudson, WI 54016-7848
Phone (715) 531-6700

535 Hospital Rd
New Richmond, WI 54017-1449
Phone (715) 243-2600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68902WIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Meeker CurrentSince Jun 25, 2021 Accepting new patients
Lake Region Healthcare Corporation CurrentSince Apr 16, 2020 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Sep 7, 2022 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Mar 1, 2019 Accepting new patients
Group Health, Inc. CurrentSince Nov 17, 2024 Accepting new patients
Hudson Hospital, Inc. CurrentSince Feb 3, 2026 Accepting new patients
Lake Region Healthcare Corporation CurrentSince Apr 16, 2020 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Dec 25, 2025 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Mar 1, 2019 Accepting new patients
Hudson Hospital, Inc. CurrentSince Feb 3, 2026 Accepting new patients
Lake Region Healthcare Corporation CurrentSince Feb 1, 2019 Accepting new patients
Westfields Hospital, Inc CurrentSince Sep 7, 2022 Accepting new patients
Group Health, Inc. Current Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Sep 7, 2022 Accepting new patients
Westfields Hospital, Inc. CurrentSince Sep 7, 2022 Accepting new patients
Lake Region Healthcare Corporation CurrentSince Feb 1, 2019 Accepting new patients
Group Health, Inc. CurrentSince Nov 17, 2024 Accepting new patients
County of Meeker CurrentSince Jun 25, 2021 Accepting new patients
Hudson Hospital, Inc Past Accepting new patients
Westfields Hospital, Inc. Past Accepting new patients
Amery Regional Medical Center, Inc. Past Accepting new patients
Lake Region Healthcare Corporation Past Accepting new patients
Lakeview Memorial Hospital Association Inc. Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1411 Highway 79 E
Elbow Lake, MN 56531
Phone (218) 685-7300

649 State St NW
Evansville, MN 56326
Phone (218) 948-2040

712 S Cascade St
Fergus Falls, MN 56537

612 S Sibley Ave
Litchfield, MN 55355
Phone (320) 693-3242

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301

405 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000

411 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000

411 Stageline Rd
#200
Hudson, WI 54016
Phone (715) 531-6700

535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013

2600 65th Ave
Osceola, WI 54020
Phone (705) 268-8000

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

744 E Louisiana St
St Croix Fls, WI 54024
Phone (651) 772-6251

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/e35355ac-dfca-48b9-9dd9-0b7c408c2a66/

Organizations & group practices 24

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 24

Hospital & facility affiliations 6

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": "1271030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1275859670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S # MS 21110Q",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554254516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 GRIFFIN ST E",
            "city": "AMERY",
            "state": "WI",
            "postal_code": "540011439",
            "telephone_number": "715-268-8000",
            "fax_number": "715-268-0311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 University Of New Mexico",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871310001",
            "country_code": "US",
            "telephone_number": "505-272-6225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 Stageline Rd",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "WI",
            "postal_code": "540167848",
            "country_code": "US",
            "telephone_number": "715-531-6700",
            "fax_number": "715-531-6701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "535 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "New Richmond",
            "state": "WI",
            "postal_code": "540171449",
            "country_code": "US",
            "telephone_number": "715-243-3400",
            "fax_number": "715-246-8980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIVALD",
        "first_name": "LORANT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-12",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "68902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amery, WI

Sources for this page

Verify at the official NPI Registry.