NPIMap

Individual provider Active NPI

Tanya L Diegel, DO

  • Family Medicine Physician
  • Valley City, ND
National Provider Identifier
1780629311
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7955 Issued in ND
Practice address
132 4TH Ave NE
Valley City, ND 58072-3056
Phone
(701) 845-8060
NPI assigned
Jun 18, 2006
Last updated
Mar 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2018

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 7955 ND Primary

Addresses

Primary practice location

132 4TH Ave NE
Valley City, ND 58072-3056

Mailing address

1702 University Dr S
Fargo, ND 58103-4940

Other practice location 1

1000 W Main St
Valley City, ND 58072-3250
Phone (701) 845-8060

Other identifiers 15

IdentifierTypeStateIssuer
137116OtherNDUCARE #
1014638OtherNDMEDICA #
323S4DIOtherNDMNBS #
HP30667OtherNDHEALTHPARTNERS #
0123522OtherNDMEDICA #
46520OtherNDLHS #
323S2DIOtherNDMNBS #
323S3DIOtherNDMNBS #
11198MedicaidND
26072OtherNDNDBS #
0123521OtherNDMEDICA #
26071OtherNDNDBS #
412620300MedicaidND
990549OtherNDAMERICA'S PPO/ARAZ #
DA9061017665OtherNDPREFERRED ONE #

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
I20051017000386 ND Practitioner - Family Practice 3971529280 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovis Health LLCGroup PAC ID 9931298155, 561 clinicians

Practice addresses (Care Compare)

1100 19TH Ave N
Suite Landm
Fargo, ND 58102-5906
Phone (701) 364-5757

132 4TH Ave NE
Valley City, ND 58072-3056
Phone (701) 845-8060

2430 20TH St SW
Jamestown, ND 58401-6201
Phone (701) 253-5300

3000 32ND Ave S
Fargo, ND 58103-6132
Phone (701) 364-8000

4622 40TH Ave S
Suite a
Fargo, ND 58104-4394
Phone (701) 364-8900

819 Main St
Lisbon, ND 58054-4244
Phone (701) 683-4134

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Innovis Health LLC Family Medicine CurrentSince Jan 1, 2008 Accepting new patients
Innovis Health, LLC Current Accepting new patients
Mercy Hospital CurrentSince Nov 26, 2010 Accepting new patients
Mercy Hospital of Valley City Current Accepting new patients
Mercy Hospital of Valley City CurrentSince Nov 26, 2010 Accepting new patients
Sisters of Mary of the Presentation Long-Term Care Past Accepting new patients
Sisters of Mary of the Presentation Long-Term Care Past Accepting new patients
Dakota Clinic, LTD. Past Accepting new patients

Locations

3265 Solutions Ctr
Chicago, IL 60677

400 E 3rd St
#6
Duluth, MN 55805
Phone (320) 360-1676

1702 University Dr S
Fargo, ND 58103
Phone (701) 364-4222

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

132 4th Ave NE
Valley City, ND 58072
Phone (701) 845-8060

570 Chautauqua Blvd
Valley City, ND 58072
Phone (701) 845-0440

Organizations & group practices 8

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 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": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1780629311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 UNIVERSITY DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581034940",
            "fax_number": "701-253-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 4TH AVE NE",
            "city": "VALLEY CITY",
            "state": "ND",
            "postal_code": "580723056",
            "telephone_number": "701-845-8060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 W Main St",
            "address_purpose": "LOCATION",
            "city": "Valley City",
            "state": "ND",
            "postal_code": "580723250",
            "country_code": "US",
            "telephone_number": "701-845-8060",
            "fax_number": "701-845-8067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIEGEL",
        "first_name": "TANYA",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "7955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE #",
            "identifier": "137116",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA #",
            "identifier": "1014638",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MNBS #",
            "identifier": "323S4DI",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS #",
            "identifier": "HP30667",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA #",
            "identifier": "0123522",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LHS #",
            "identifier": "46520",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MNBS #",
            "identifier": "323S2DI",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MNBS #",
            "identifier": "323S3DI",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11198",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NDBS #",
            "identifier": "26072",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA #",
            "identifier": "0123521",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NDBS #",
            "identifier": "26071",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "412620300",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICA'S PPO/ARAZ #",
            "identifier": "990549",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE #",
            "identifier": "DA9061017665",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley City, ND

Sources for this page

Verify at the official NPI Registry.