NPIMap

Individual provider Active NPI

Andre Michael Morales, MD

  • Emergency Medicine Physician
  • Fargo, ND
National Provider Identifier
1750878195
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
24559 Issued in ND
Practice address
3000 32ND Ave S
Fargo, ND 58103-6132
Phone
(218) 786-8364
NPI assigned
Apr 20, 2018
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2021021669 MO
Emergency Medicine Physician 207P00000X 24559 ND Primary

Addresses

Primary practice location

3000 32ND Ave S
Fargo, ND 58103-6132

Mailing address

400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, SD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210827000625 MO Practitioner - Emergency Medicine 1658776711 Reassigns benefits to 6 organizations
I20250806003029 SD Practitioner - Emergency Medicine 1658776711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Vanderbilt University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

300 W 5TH St
Miller, SD 57362-1238
Phone (605) 853-0158

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021021669MOMDEmergency Medicine Physician
24559NDMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital South CurrentSince Jan 1, 2023 Accepting new patients
Avera McKennan CurrentSince Jul 7, 2025 Accepting new patients
Mercy Hospitals East Communities CurrentSince Jan 1, 2023 Accepting new patients
Mercy East Ambulatory Services LLC CurrentSince Apr 17, 2022 Accepting new patients
Mercy Hospitals East Communities Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Mercy Hospital Jefferson CurrentSince Jan 1, 2023 Accepting new patients
Mercy Hospitals East Communities Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Avera McKennan CurrentSince Jul 7, 2025 Accepting new patients
Mercy Hospital Jefferson CurrentSince Jan 1, 2023 Accepting new patients
Mercy Hospital South Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Avera McKennan Current Accepting new patients
Mercy Hospitals East Communities CurrentSince Jan 1, 2023 Accepting new patients

Locations

7245 Raider Rd
Bonne Terre, MO 63628
Phone (573) 358-1400

8321 Maryland Ave
Clayton, MO 63105
Phone (314) 626-8010

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111

1101 W Liberty St
Farmington, MO 63640
Phone (573) 705-1272

409 Lafayette Ctr
Manchester, MO 63011
Phone (636) 707-0764

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

555 Washington Sq
Washington, MO 63090
Phone (636) 390-1777

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

901 Patients First Dr
Ste 1200
Washington, MO 63090
Phone (636) 390-1777

3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-4222

300 W 5th St
Miller, SD 57362
Phone (605) 853-0158

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1750878195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 3RD ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051951",
            "telephone_number": "218-786-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 32ND AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036132",
            "telephone_number": "218-786-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "ANDRE",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-20",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2021021669",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ND",
            "license": "24559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.