NPIMap

Individual provider Active NPI

Charles D Nyhus, MD

  • Family Medicine Physician
  • Harvey, ND
National Provider Identifier
1700954633
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4406 Issued in ND
Practice address
922 Lincoln Ave
Harvey, ND 58341-1524
Phone
(701) 324-4856
Fax
(701) 324-4858
NPI assigned
Nov 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4406 ND Primary

Addresses

Primary practice location

922 Lincoln Ave
Harvey, ND 58341-1524

Mailing address

922 Lincoln Ave
Harvey, ND 58341-1524
Phone (701) 324-4856

Other identifiers 2

IdentifierTypeStateIssuer
13341MedicaidND
828OtherNDBLUE CROSS BLUE SHIELD

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
I20040827001078 ND Practitioner - Family Practice 1254324270 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Dakota School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Aloisius Hospital, Inc.Group PAC ID 6002802378, 19 clinicians
Central Dakota Family Physicians PCGroup PAC ID 5698740165, 2 clinicians

Practice addresses (Care Compare)

325 Brewster St E
Harvey, ND 58341-1653
Phone (701) 324-4651

922 Lincoln Ave
Harvey, ND 58341-1524
Phone (701) 324-4856

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
59.79 of 100Reported as group
Quality
0
Promoting interoperability
78
Improvement activities
40
Cost
84.3

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy11
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of skin lesions17
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Aloisius Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: charlesnyhusmd@stamc.securechart.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
SMP Health-St. AloisiusHarvey, ND, CCN 355037 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 1, 2020
Sep 1, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700954633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 LINCOLN AVE",
            "city": "HARVEY",
            "state": "ND",
            "postal_code": "583411524",
            "telephone_number": "701-324-4856",
            "fax_number": "701-324-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 LINCOLN AVE",
            "city": "HARVEY",
            "state": "ND",
            "postal_code": "583411524",
            "telephone_number": "701-324-4856",
            "fax_number": "701-324-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYHUS",
        "first_name": "CHARLES",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "4406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13341",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "828",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, ND

Sources for this page

Verify at the official NPI Registry.