Shantisree Namile, M.D.

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

RL10439 Issued in ND

Practice address

2010 Elm St N
Fargo, ND 58102-2425

Phone

(701) 239-3700

NPI assigned

Oct 17, 2008

Last updated

Aug 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1578715827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 ELM ST N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581022417",
            "telephone_number": "701-239-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 ELM ST N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581022425",
            "telephone_number": "701-239-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMILE",
        "first_name": "SHANTISREE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-17",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ND",
            "license": "RL10439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shantisree.namile@va.gov",
            "affiliation": "N",
            "address_1": "2010 Elm St N",
            "city": "Fargo",
            "state": "ND",
            "country_code": "US",
            "postal_code": "581022425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James W Nagle, MD
• Thomas D Nagle, MD
• Avish Nagpal, MD
• Yuri R Nakasato, MD
• Grace Nicole Names
• Fadel E Nammour, MD
• Kimberly Mae Naplin, NP
• Doreen M Narlock
• Osama Bin Naseer, MD
• Ramanda Nash

• Hospitalist Physician in Fargo, ND
• Providers in Fargo, ND by specialty
• Hospitalist Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.