Active NPI
Heart Institute of North Dakota LTD
- Cardiovascular Disease Physician
- Grand Forks, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 4722
- Legal business name
- HEART INSTITUTE OF NORTH DAKOTA LTD
- Practice address
- 1191 S Columbia Rd
Grand Forks, ND 58201-4033 - Phone
- (701) 780-2000
- Fax
- (701) 746-1663
- NPI assigned
- Nov 8, 2006
- Last updated
- Oct 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Noah N Chelliah, MD
- Title
- President
- Phone
- (701) 780-2000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 4722 | ND | Primary |
Addresses
Primary practice location
1191 S Columbia Rd
Grand Forks, ND 58201-4033
Mailing address
1191 S Columbia Rd
Grand Forks, ND 58201-4033
Phone (701) 780-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11461 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, MN
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 35D2234817 | Heart Institute of North Dakota, the | Certificate of waiver | Sep 1, 2027 |
National Provider Directory
National Provider DirectoryLocations
1191 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-2000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729641600000",
"number": "1609945914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1191 S COLUMBIA RD",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014033",
"telephone_number": "701-780-2000",
"fax_number": "701-746-1663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1191 S COLUMBIA RD",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014033",
"telephone_number": "701-780-2000",
"fax_number": "701-746-1663"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEART INSTITUTE OF NORTH DAKOTA LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A",
"authorized_official_last_name": "CHELLIAH",
"authorized_official_first_name": "NOAH",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "701-780-2000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "ND",
"license": "4722",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11461",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Forks, ND
- Melissa Jeannette Hayes, FNP-C
- Judith Ann Haynes, PH.D.
- Kaitlin Hazel, MHT
- Healingtree Integrative Health Clinic, PLLC
- Healthy Weighs Nutrition Center, LLC
- Heartland Clinic Chiropractic PC (Heartland Clinic of Chiropractic)
- Katie Deborah Heazlett Carl, LSW
- Rebecca K. Heazlett, OTR
- Diana Lynn Hegge
- Trond U Hegle, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.