Individual provider Active NPI

Michael Ranum

  • Optometrist
  • Bismarck, ND
National Provider Identifier
1437101888
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
680 Issued in ND
Practice address
200 S 5TH St
Bismarck, ND 58504-5675
Phone
(701) 222-3937
Fax
(701) 751-3550
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 680 ND Primary

Addresses

Primary practice location

200 S 5TH St
Bismarck, ND 58504-5675

Mailing address

5301 Country Creek Dr
Bismarck, ND 58503-1528
Phone (701) 255-3070

Other identifiers 7

IdentifierTypeStateIssuer
1437101888OtherNDBCBS
1437101888MedicaidMT
1437101888MedicaidSD
1437101888OtherMEDICA
893195OtherNDBCBS & NDVSI
P00802816OtherRAILROAD MEDICARE
60672MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090826000481 ND Practitioner - Optometry 5890723431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dakota Eye Institute PCGroup PAC ID 2062404205, 15 clinicians

Practice addresses (Care Compare)

3119 N 14TH St
Bismarck, ND 58503-0664
Phone (701) 222-3937

Merit-based Incentive Payment System (MIPS)

Final score
82.05 of 100Reported as group
Quality
92.92
Promoting interoperability
100
Improvement activities
40
Cost
47.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
680NDMDOptometrist
3028WIMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dakota Eye Institute PC Optometrist CurrentSince Aug 19, 2009 Accepting new patients

Locations

200 S 5th St
Bismarck, ND 58504
Phone (701) 222-3937

3119 N 14th St
Bismarck, ND 58503
Phone (701) 222-3937

Interoperability endpoints

  • Direct secure messaging: mranum@dakotaeye.emadirect.md

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1437101888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 COUNTRY CREEK DR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585031528",
            "telephone_number": "701-255-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S 5TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045675",
            "telephone_number": "701-222-3937",
            "fax_number": "701-751-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANUM",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1437101888",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437101888",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437101888",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "1437101888",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS & NDVSI",
            "identifier": "893195",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00802816",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60672",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.