Individual provider Active NPI

Paul N Trites, M.D.

  • Family Medicine Physician
  • Richfield, MN
National Provider Identifier
1447348040
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26084 Issued in MN
Practice address
2200 W 66TH St
Richfield, MN 55423-2131
Phone
(320) 333-0896
Fax
(320) 333-0896
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 27272 WV
Ophthalmology Physician 207W00000X 26084 MN
General Practice Physician 208D00000X 26084 MN
Family Medicine Physician 207Q00000X 26084 MN Primary

Addresses

Primary practice location

2200 W 66TH St
Richfield, MN 55423-2131

Mailing address

2200 West 66TH Street, #199
Richfield, MN 55423
Phone (320) 333-0896

Other practice location 1

5430 MacCorkle Ave SE
Charleston, WV 25304-2224
Phone (304) 925-3627

Other practice location 2

800 Wheeling Ave
Glen Dale, WV 26038-1660
Phone (304) 845-3211

Other practice location 3

3 E Benjamin Dr
New Martinsville, WV 26155-2705
Phone (304) 455-8000

Other practice location 4

512 Skyline Blvd
Cloquet, MN 55720-3787
Phone (218) 879-4641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN, OK, WV, VA5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20040824000282 WI Practitioner - Internal MedicinePractitioner - Ophthalmology 9931173143 Reassigns benefits to 1 organization
I20051219000615 MN Practitioner - Emergency MedicinePractitioner - Internal MedicinePractitioner - Ophthalmology 9931173143 Reassigns benefits to 1 organization
I20150409000623 OK Practitioner - Internal Medicine 9931173143 Reassigns benefits to 3 organizations
I20170405001483 WV Practitioner - Physical Medicine and RehabilitationPractitioner - Family PracticePractitioner - Emergency Medicine 9931173143 Reassigns benefits to 2 organizations
I20220322001573 VA Practitioner - General Practice 9931173143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Ophthalmology
Education
University of Minnesota Medical School, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DJ-MN IncGroup PAC ID 5496856650, 2 clinicians

Practice addresses (Care Compare)

12 Bridge SQ
Suite 101
Anoka, MN 55303-2463
Phone (763) 427-4000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26084MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Dec 1, 2020 Accepting new patients
West Virginia Emergency Physicians, LLP Emergency Medicine CurrentSince Feb 1, 2017 Accepting new patients
Signify Health, LLC General Practice CurrentSince Dec 8, 2021 Accepting new patients
DJ-MN Inc Current Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Dec 1, 2020 Accepting new patients
Nes Oklahoma, Inc. Emergency Medicine CurrentSince Apr 2, 2019 Accepting new patients
Oklahoma Emergency Physician Partners PLLC Emergency Medicine Current Accepting new patients
DJ-MN Inc CurrentSince Apr 10, 2025 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
St. Francis Medical Center Past Accepting new patients
St Francis Medical Center Past Accepting new patients
Mayo Clinic Health System-Southwest Wisconsin Region, Inc. Past Accepting new patients
Access Medical Past Accepting new patients
PHS Indian Hospital Past Accepting new patients
Kayenta Alternative Rural Hospital Past Accepting new patients
David Thelen Past Accepting new patients

Locations

12 Bridge Sq
Ste 101
Anoka, MN 55303
Phone (763) 421-4334

11415 Foley Blvd NW
Coon Rapids, MN 55448
Phone (763) 755-3683

504 Pine St
Monticello, MN 55362
Phone (763) 295-0004

1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080

501 N 14th St
Perry, OK 73077
Phone (580) 336-3541

1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932

905 S Main St
Shattuck, OK 73858
Phone (580) 938-2551

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460

230 Hospital Plz
Weston, WV 26452
Phone (304) 269-8000

Interoperability endpoints

  • Direct secure messaging: paul.trites@avera.sdhealthlink.net

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1447348040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 WEST 66TH STREET, #199",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "55423",
            "telephone_number": "320-333-0896",
            "fax_number": "888-582-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W 66TH ST",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232131",
            "telephone_number": "320-333-0896",
            "fax_number": "320-333-0896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5430 MacCorkle Ave SE",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253042224",
            "country_code": "US",
            "telephone_number": "304-925-3627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Wheeling Ave",
            "address_purpose": "LOCATION",
            "city": "Glen Dale",
            "state": "WV",
            "postal_code": "260381660",
            "country_code": "US",
            "telephone_number": "304-845-3211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 E Benjamin Dr",
            "address_purpose": "LOCATION",
            "city": "New Martinsville",
            "state": "WV",
            "postal_code": "261552705",
            "country_code": "US",
            "telephone_number": "304-455-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "512 Skyline Blvd",
            "address_purpose": "LOCATION",
            "city": "Cloquet",
            "state": "MN",
            "postal_code": "557203787",
            "country_code": "US",
            "telephone_number": "218-879-4641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRITES",
        "first_name": "PAUL",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "27272",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "26084",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MN",
            "license": "26084",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "26084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, MN

Sources for this page

Verify at the official NPI Registry.