Individual provider Active NPI

Seema Khosla, MD

  • Pulmonary Disease Physician
  • Fargo, ND
National Provider Identifier
1659462455
Registry record updated Jan 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
10030 Issued in ND
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

Updated by the provider on Jan 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
13547MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050829000520 ND Practitioner - Sleep MedicinePractitioner - Internal MedicinePractitioner - Pulmonary Disease 8628009701 Reassigns benefits to 1 organization
I20180329001471 MN Practitioner - Sleep MedicinePractitioner - Internal Medicine 8628009701 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Center for Sleep LLC CurrentSince Jul 1, 2010 Accepting new patients
Hutchinson Health CurrentSince Jan 13, 2018 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.

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

Verify at the official NPI Registry.