Active NPI
Seema Khosla, MD
- Pulmonary Disease Physician
- Fargo, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 10030
- Practice address
- 4152 30TH Ave S
Suite 103B
Fargo, ND 58104-8403 - Phone
- (701) 356-3000
- Fax
- (701) 271-9260
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 10030 | ND | Primary |
Addresses
Primary practice location
4152 30TH Ave S
Suite 103B
Fargo, ND 58104-8403
Mailing address
4152 30TH Ave S
Suite 103B
Fargo, ND 58104-8403
Phone (701) 356-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13547 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Sleep Medicine
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1531 32ND Ave S
Suite 103
Fargo, ND 58103-5911
Phone (701) 356-3000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Sleep LLC | Current | Accepting new patients | |
| Hutchinson Health | Current | Accepting new patients | |
| Clinic Pharmacy Inc | Past | Accepting new patients | |
| Douglas County Hospital | Past | Accepting new patients |
Locations
1029 Highway 15 S
Hutchinson, MN 55350
Phone (320) 275-3358
4152 30th Ave S
Ste 103B
Fargo, ND 58104
Phone (701) 356-3000
4152 30th Ave S
Ste 103A
Fargo, ND 58104
1531 32nd Ave S
Ste 103
Fargo, ND 58103
Phone (701) 234-9667
1531 32nd Ave S
Ste 102
Fargo, ND 58103
Phone (281) 762-0659
Organizations & group practices 4
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.
-
- Sleep Medicine (Internal Medicine) Physician
- Fargo, ND
- NPI 1740503358
-
dba Hutchinson Health Hospital
- General Acute Care Hospital
- Hutchinson, MN
- NPI 1053508820
-
- Community/Retail Pharmacy
- Devils Lake, ND
- NPI 1184718876
-
dba Alomere Health
- General Acute Care Hospital
- Alexandria, MN
- NPI 1164424305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295222400000",
"number": "1659462455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4152 30TH AVE S",
"address_2": "SUITE 103B",
"city": "FARGO",
"state": "ND",
"postal_code": "581048403",
"telephone_number": "701-356-3000",
"fax_number": "701-271-9260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4152 30TH AVE S",
"address_2": "SUITE 103B",
"city": "FARGO",
"state": "ND",
"postal_code": "581048403",
"telephone_number": "701-356-3000",
"fax_number": "701-271-9260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHOSLA",
"first_name": "SEEMA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2011-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "ND",
"license": "10030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13547",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2011; 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.