Individual provider Active NPI

Byron Alan Velander, MD

  • Adolescent Medicine (Internal Medicine) Physician
  • Grand Forks, ND
National Provider Identifier
1578501672
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
11312 Issued in ND
Practice address
1451 44TH Avenue South
Suite #112-D
Grand Forks, ND 58201
Phone
(701) 775-5800
Fax
(701) 775-5200
NPI assigned
Jun 2, 2006
Last updated
Nov 23, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 036-111489 IL
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 112716 MT
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 11312 ND Primary

Addresses

Primary practice location

1451 44TH Avenue South
Suite #112-D
Grand Forks, ND 58201

Mailing address

1451 44TH Avenue South
Suite #112D
Grand Forks, ND 58201
Phone (701) 775-5800

Other practice location 1

221 5th Ave S
Glasgow, MT 59230-2600
Phone (406) 228-3400

Other identifiers 2

IdentifierTypeStateIssuer
036-111489MedicaidIL
11251MedicaidND

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address glasgowclinicpc@direct-address.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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
036-111489ILMDAdolescent Medicine (Internal Medicine) Physician
112716MTMDAdolescent Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Institute of North Dakota, LLC Past Accepting new patients
Northland Family Physicians LLC PastSince Sep 15, 2019 Accepting new patients
Midwest Neoped Associates LTD PastSince Jun 28, 2009 Accepting new patients
Houlton Regional Hospital Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Aurora Urgent Care LLC PastSince Oct 1, 2006 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bvelander@yourcarecommunity.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1578501672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 44TH AVENUE SOUTH",
            "address_2": "SUITE #112D",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "58201",
            "telephone_number": "701-775-5800",
            "fax_number": "701-775-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 44TH AVENUE SOUTH",
            "address_2": "SUITE #112-D",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "58201",
            "telephone_number": "701-775-5800",
            "fax_number": "701-775-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 5th Ave S",
            "address_purpose": "LOCATION",
            "city": "Glasgow",
            "state": "MT",
            "postal_code": "592302600",
            "country_code": "US",
            "telephone_number": "406-228-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELANDER",
        "first_name": "BYRON",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "IL",
            "license": "036-111489",
            "primary": false
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "MT",
            "license": "112716",
            "primary": false
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "ND",
            "license": "11312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-111489",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11251",
            "state": "ND"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "glasgowclinicpc@direct-address.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "221 5th Ave S",
            "city": "Glasgow",
            "state": "MT",
            "country_code": "US",
            "postal_code": "592302600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.