NPIMap

Individual provider Active NPI

Rory Ratzlaff, MD

  • Family Medicine Physician
  • West Fargo, ND
National Provider Identifier
1679068035
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
RL15175 Issued in ND
Practice address
1220 Sheyenne St
West Fargo, ND 58078-2637
Phone
(701) 234-4445
Fax
(701) 234-4385
NPI assigned
Jun 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RL15175 ND Primary

Addresses

Primary practice location

1220 Sheyenne St
West Fargo, ND 58078-2637

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other practice location 1

Sanford Health 737 Broadway N
Fargo, ND 58122-0001
Phone (701) 234-6076

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rratzlaff17240467@direct.sanfordhealth.org
Direct Messaging Address rratzlaff17240467@direct.sanfordhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210915000778 ND Practitioner - Family Practice 7113323262 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical Center FargoGroup PAC ID 8426967803, 1,210 clinicians
Cavalier County Memorial Hospital AssociationGroup PAC ID 5092623520, 11 clinicians

Practice addresses (Care Compare)

1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445

2400 32ND Ave S
Fargo, ND 58103-5800
Phone (701) 234-2000

4840 23Rd Ave S
Fargo, ND 58104-9136
Phone (701) 417-6999

901 2ND St
Langdon, ND 58249-2407
Phone (701) 256-6120

Hospital & facility affiliations

  • Sanford Medical Center Fargo Hospital, Fargo, ND, CCN 350011
  • Cavalier County Memorial Hospital Association Hospital, Langdon, ND, CCN 351323
  • The Meadows on University Nursing home, Fargo, ND, CCN 355024
  • Maple Manor Care Center Nursing home, Langdon, ND, CCN 355050

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RL15175NDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Fargo CurrentSince Jul 12, 2021 Accepting new patients
Cavalier County Memorial Hospital Association CurrentSince Oct 1, 2022 Accepting new patients
Cavalier County Memorial Hospital Association CurrentSince Jul 17, 2023 Accepting new patients
Sanford Medical Center Fargo Family Medicine CurrentSince Jul 12, 2021 Accepting new patients
Fargo Nursing and Rehab Center, LLC Past Accepting new patients
Sanford Medical Center Fargo Past Accepting new patients
Maple Manor Care Center Past Accepting new patients

Locations

737 Broadway N
Fargo, ND 58102
Phone (701) 234-4811

2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800

909 2nd St
Langdon, ND 58249
Phone (701) 256-6100

901 2nd St
Langdon, ND 58249
Phone (701) 256-6100

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

Interoperability endpoints

  • Direct secure messaging: rratzlaff17240467@direct.sanfordhealth.org

Organizations & group practices 10

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1679068035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 SHEYENNE ST",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580782637",
            "telephone_number": "701-234-4445",
            "fax_number": "701-234-4385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Sanford Health 737 Broadway N",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581220001",
            "country_code": "US",
            "telephone_number": "701-234-6076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RATZLAFF",
        "first_name": "RORY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-28",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "RL15175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rratzlaff17240467@direct.sanfordhealth.org",
            "affiliation": "N",
            "address_1": "1220 Sheyenne St",
            "city": "West Fargo",
            "state": "ND",
            "country_code": "US",
            "postal_code": "580782637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rratzlaff17240467@direct.sanfordhealth.org",
            "affiliation": "N",
            "address_1": "Sanford Health 737 Broadway N",
            "city": "Fargo",
            "state": "ND",
            "country_code": "US",
            "postal_code": "581220001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Fargo, ND

Sources for this page

Verify at the official NPI Registry.