Individual provider Active NPI

Cesar Cobarruvias, DO

  • Emergency Medicine Physician
  • Fargo, ND
National Provider Identifier
1659492189
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
58738 Issued in MN
Practice address
2101 Elm Street
Fargo, ND 58102
Phone
(651) 439-1234
NPI assigned
Apr 2, 2007
Last updated
Jun 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 56333 WI
Emergency Medicine Physician 207P00000X DO2414 ME
Emergency Medicine Physician 207P00000X 58738 MN Primary

Addresses

Primary practice location

2101 Elm Street
Fargo, ND 58102

Mailing address

2101 Elm Street N
Fargo, ND 58102
Phone (701) 239-3700

Other practice location 1

265 Griffin St E
Amery, WI 54001-1439
Phone (715) 268-8000

Other practice location 2

140 Academy St
Presque Isle, ME 04769-3102
Phone (207) 768-4000

Other practice location 3

535 Hospital Rd
New Richmond, WI 54017-1449
Phone (715) 243-2600

Other practice location 4

411 Stageline Rd
Hudson, WI 54016-7848
Phone (715) 531-6700

Other identifiers 1

IdentifierTypeStateIssuer
1659492189MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, 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
I20111011000187 WI Practitioner - Emergency Medicine 4981764339 Reassigns benefits to 4 organizations
I20150605000624 MN Practitioner - Emergency MedicinePractitioner - Other (Physician) 4981764339 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO2414MEMDEmergency Medicine Physician
58738MNMDEmergency Medicine Physician
56333WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Howard Young Medical Center, Inc. Emergency Medicine CurrentSince Aug 31, 2019 Accepting new patients
Aspirus Eagle River Hospital & Clinics, Inc. Current Accepting new patients
Range Regional Health Services CurrentSince Nov 1, 2023 Accepting new patients
Midwest Addiction Treatment Services LLC Current Accepting new patients
Memorial Medical Center Inc CurrentSince Feb 1, 2018 Accepting new patients
Mercy Health System Corporation CurrentSince May 4, 2017 Accepting new patients
Range Regional Health Services Current Accepting new patients
Mercy Health System Corporation CurrentSince May 4, 2017 Accepting new patients
Aspirus Eagle River Hospital, Inc. Emergency Medicine CurrentSince Aug 31, 2019 Accepting new patients
Range Regional Health Services CurrentSince Nov 1, 2023 Accepting new patients
Memorial Medical Center Inc CurrentSince Feb 1, 2018 Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

29980 Network Pl
Chicago, IL 60673

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858

1615 Maple Ln
Ashland, WI 54806
Phone (715) 682-4563

201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1659492189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 ELM STREET N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58102",
            "telephone_number": "701-239-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 ELM STREET",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58102",
            "telephone_number": "651-439-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "265 Griffin St E",
            "address_purpose": "LOCATION",
            "city": "Amery",
            "state": "WI",
            "postal_code": "540011439",
            "country_code": "US",
            "telephone_number": "715-268-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Academy St",
            "address_purpose": "LOCATION",
            "city": "Presque Isle",
            "state": "ME",
            "postal_code": "047693102",
            "country_code": "US",
            "telephone_number": "207-768-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "535 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "New Richmond",
            "state": "WI",
            "postal_code": "540171449",
            "country_code": "US",
            "telephone_number": "715-243-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 Stageline Rd",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "WI",
            "postal_code": "540167848",
            "country_code": "US",
            "telephone_number": "715-531-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COBARRUVIAS",
        "first_name": "CESAR",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2025-06-13",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "56333",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ME",
            "license": "DO2414",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "58738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659492189",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.