Active NPI
Michael Ranum
- Optometrist
- Bismarck, ND
National Provider Identifier
1437101888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 680
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437101888 | Other | ND | BCBS |
| 1437101888 | Medicaid | MT | |
| 1437101888 | Medicaid | SD | |
| 1437101888 | Other | MEDICA | |
| 893195 | Other | ND | BCBS & NDVSI |
| P00802816 | Other | RAILROAD MEDICARE | |
| 60672 | Medicaid | ND |
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
Enrollment records 1
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
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 100
- Quality
- 92.92
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 47.25
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 680 | ND | MD | Optometrist |
| 3028 | WI | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dakota Eye Institute PC | Optometrist | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.