NPIMap

Individual provider Active NPI

Padmaraj Dattatrey Duvvuri, MD

  • Cardiovascular Disease Physician
  • Fargo, ND
National Provider Identifier
1285869099
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
22622 Issued in ND
Practice address
801 Broadway N
Fargo, ND 58102-3641
Phone
(701) 234-2000
NPI assigned
May 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 35.098582 OH
Internal Medicine Physician 207R00000X 68335 TN
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 68335 TN
Cardiovascular Disease Physician 207RC0000X 036142673 IL
Cardiovascular Disease Physician 207RC0000X 68335 TN
Cardiovascular Disease Physician 207RC0000X 22622 ND Primary
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X 68335 TN
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 036142673 IL

Addresses

Primary practice location

801 Broadway N
Fargo, ND 58102-3641

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other practice location 1

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 701-5825

Other practice location 2

8060 Wolf River Blvd
Germantown, TN 38138-1727
Phone (901) 271-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TN, MS, ND4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20190613001183 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 6800066036
I20230829000270 TN Practitioner - Advanced Heart Failure and Transplant CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6800066036 Reassigns benefits to 2 organizations
I20231107003925 MS Practitioner - Advanced Heart Failure and Transplant CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6800066036 Reassigns benefits to 1 organization
I20251212003007 ND Practitioner - Cardiovascular Disease (Cardiology) 6800066036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical Center FargoGroup PAC ID 8426967803, 1,210 clinicians
Memphis Lung Physicians Foundation, Inc.Group PAC ID 4981876307, 57 clinicians
Stern Cardiovascular Foundation, IncGroup PAC ID 8123200540, 111 clinicians

Practice addresses (Care Compare)

1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445

300 2ND Ave NE
Jamestown, ND 58401-3373
Phone (701) 251-6000

332 2ND Ave N
Wahpeton, ND 58075-4528
Phone (701) 642-7000

520 Chautauqua Blvd
Valley City, ND 58072-3145
Phone (701) 845-6000

5225 23Rd Ave S
Fargo, ND 58104-7927
Phone (701) 417-2575

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 701-5825

7362 Southcrest Pkwy
Southaven, MS 38671-4773
Phone (901) 271-1000

801 Broadway N
Fargo, ND 58102-3641
Phone (701) 234-2000

8060 Wolf River Blvd
Germantown, TN 38138-1727
Phone (901) 271-1000

Hospital & facility affiliations

  • Sanford Medical Center Fargo Hospital, Fargo, ND, CCN 350011
  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
  • Jamestown Regional Medical Center Hospital, Jamestown, ND, CCN 351335
  • Essentia Health St Marys - Detroit Lakes Hospital, Detroit Lakes, MN, CCN 240101
  • Perham Health Hospital, Perham, MN, CCN 241373

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68335TNMDInternal Medicine Physician
22622NDMDCardiovascular Disease Physician
35.098582OHMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Fargo CurrentSince Nov 17, 2025 Accepting new patients
Stern Cardiovascular Foundation, Inc Cardiovascular Disease CurrentSince Aug 1, 2023 Accepting new patients
Stern Cardiovascular Center, PA Cardiovascular Disease Current Accepting new patients
Sanford Medical Center Fargo Internal Medicine Current Accepting new patients
The Metrohealth System Current Accepting new patients
Sanford Medical Center Fargo CurrentSince Nov 17, 2025 Accepting new patients
Memphis Lung Physicians Foundation, Inc. Critical Care Medicine CurrentSince Jan 5, 2024 Accepting new patients
Memphis Lung Physicians, P.C. Past Accepting new patients
Sanford Medical Center Fargo Cardiovascular Disease Past Accepting new patients

Locations

200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631

7362 Southcrest Pkwy
Southaven, MS 38671
Phone 90127110002272

801 Broadway N
Fargo, ND 58102
Phone (701) 234-5121

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

8060 Wolf River Blvd
Memphis, TN 38138
Phone (901) 271-2272

2120 Exeter Rd
Ste 250
Memphis, TN 38138
Phone (901) 767-5864

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

Interoperability endpoints

  • Direct secure messaging: pduvvuri586301@direct.bmhcc.org
  • Direct secure messaging: pduvvuri53910@direct.metrohealth.org
  • Direct secure messaging: padmarajduvvuri@stern.allscriptsdirect.net

Organizations & group practices 9

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 12

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": "1242950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1285869099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BROADWAY N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581023641",
            "telephone_number": "701-234-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6019 Walnut Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381202113",
            "country_code": "US",
            "telephone_number": "901-701-5825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8060 Wolf River Blvd",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381381727",
            "country_code": "US",
            "telephone_number": "901-271-1000",
            "fax_number": "901-271-4187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUVVURI",
        "first_name": "PADMARAJ",
        "middle_name": "DATTATREY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-22",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OH",
            "license": "35.098582",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "68335",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TN",
            "license": "68335",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036142673",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "68335",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "ND",
            "license": "22622",
            "primary": true
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "TN",
            "license": "68335",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036142673",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.