Cory E. Rathgeber, M.D.
Individual provider Active NPI Family Medicine Physician · Dickinson, ND
NPI 1649367343 · NPPES record last updated Apr 18, 2025
Key facts
- NPI
- 1649367343
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 10357 (ND)
- Practice address
- 33 9TH St W
Dickinson, ND 58601-3950 - Phone
- (701) 483-6017
- Fax
- (701) 483-5018
- NPI assigned
- Oct 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 9
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sanford Bismarck
Omaha Therapy Inc
Practice addresses (Care Compare)
2615 Fairway St
Dickinson, ND 58601-2590
Phone (701) 456-6000
683 State Ave
Dickinson, ND 58601-4660
Phone (701) 483-9400
Hospital & facility affiliations
- CHI Health at Home - HHA
- CHI Health at Home - Hospice
- Sanford Medical Center Bismarck
- CHI St Alexius Health Dickinson
- CHI St Alexius Health
- St Benedicts Health Center
- St Lukes Home
- Hill Top Home of Comfort Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 21 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 16 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| St Benedict'S Health Center |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2024 Jan 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061220000488 | ND | Practitioner - Family Practice | 1557371929 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10357 | ND | 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 |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| St. Luke'S Home | Past | Accepting new patients | |
| Hill Top Home of Comfort, Inc. | Past | Accepting new patients | |
| Benedictine Living Communities, Inc. | Past | Accepting new patients | |
| St. Luke'S Home | 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
33 9th St W
Dickinson, ND 58601
Phone (701) 483-4858
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 10357 | ND | Yes |
Addresses
Primary practice location
33 9TH St W
Dickinson, ND 58601-3950
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12143 | Medicaid | ND |
Other providers in Dickinson, ND
- Psych 180 PLLC
- Sue Pyfer
- Alexis Helen Quammen
- Anthony Michael Quaste
- R & S Homecare Services LLC
- Heather Dione Rathgeber
- Brooke Ann Rayfield
- Natalie Kay Rayl
- Recoverrides LLC
- Rehabvisions Therapy NE, LLC
All providers in Dickinson, ND · Family Medicine Physician in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.