Tristan Erich Carivau
Individual provider Active NPI Internal Medicine Physician · Fargo, ND
NPI 1669306387 · NPPES record last updated Jun 9, 2026
Key facts
- NPI
- 1669306387
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 24593 (ND)
- Practice address
- 5225 23Rd Ave S
Fargo, ND 58104-7927 - Phone
- (701) 417-1333
- NPI assigned
- Jun 9, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 24593 | ND | Yes |
Addresses
Primary practice location
5225 23Rd Ave S
Fargo, ND 58104-7927
Mailing address
5225 23Rd Ave S
Fargo, ND 58104-7927
Other providers in Fargo, ND
- Caring Hearts Home Care LLC
- Caring Touch
- Caringedge Hospice of Fargo
- Carita R Shawchuck PHD PC
- Carita R Shawchuck, PHD, PC
- Heather Crystal Carkhuff
- Carl a. Trout, DDS, PC
- Carl John Fedyszyn, M.D.,P.C.
- Hannah Carlblom
- Megan R Carlblom
All providers in Fargo, ND · Internal 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 Jun 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.