Active NPI
Emily Suzanne Eckroth, MD
- Family Medicine Physician
- Bismarck, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 14372
- Practice address
- 3318 N 14TH St
Bismarck, ND 58503-1614 - Phone
- (701) 323-8870
- NPI assigned
- Aug 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | BP1-0027833 | TX | |
| Family Medicine Physician | 207Q00000X | 14372 | ND | Primary |
Addresses
Primary practice location
3318 N 14TH St
Bismarck, ND 58503-1614
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other practice location 1
2615 Fairway St
Dickinson, ND 58601-2590
Phone (701) 456-6000
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Texas Tech University Health Science Center School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2615 Fairway St
Dickinson, ND 58601-2590
Phone (701) 456-6000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.63 of 100
- Quality
- 89.39
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.04
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14372 | ND | MD | Family Medicine Physician |
| BP1-0027833 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Bismarck | Current | Accepting new patients | |
| Sanford Bismarck | Family Medicine | Current | Accepting new patients |
| Texas Tech University Health Sciences Center Lubbock | Family Medicine | Past | Accepting new patients |
Locations
3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300
2615 Fairway St
Dickinson, ND 58601
Phone (701) 456-6000
709 4th Ave NE
Ste 1
Watford City, ND 58854
Phone (701) 842-3740
Interoperability endpoints
- emily.fernandez@direct.myteamcare.com
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Dickinson, ND
- NPI 1720075377
-
- Family Medicine Physician
- Lubbock, TX
- NPI 1083663363
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bismarck, ND
- NPI 1538245634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1447443627",
"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": "3318 N 14TH ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585031614",
"telephone_number": "701-323-8870"
}
],
"practiceLocations": [
{
"address_1": "2615 Fairway St",
"address_purpose": "LOCATION",
"city": "Dickinson",
"state": "ND",
"postal_code": "586012590",
"country_code": "US",
"telephone_number": "701-456-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ECKROTH",
"first_name": "EMILY",
"middle_name": "SUZANNE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-22",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "BP1-0027833",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ND",
"license": "14372",
"primary": true
}
],
"identifiers": [],
"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 Sep 3, 2026; 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.