David S Arvold, M.D.
Individual provider Active NPI Internal Medicine Physician · Duluth, MN
NPI 1790735504 · NPPES record last updated Dec 4, 2020
Key facts
- NPI
- 1790735504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 24559 (MN)
- Practice address
- 1001 E Superior St
Ste L401
Duluth, MN 55805 - Phone
- (218) 249-7960
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 32
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St. Luke'S Hospital of Duluth
Practice addresses (Care Compare)
1015 E 1St St
Duluth, MN 55805-2242
Phone (218) 249-7860
35 N 28TH St
Superior, WI 54880-5557
Phone (715) 392-3300
Hospital & facility affiliations
- Aspirus St. Luke'S at Home - Home Care - Duluth
- Aspirus St. Luke'S at Home-Hospice-Duluth
- St Lukes Hospital
- Community Memorial Hospital
- Aspirus Lake View Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN, WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040417000572 | MN | Practitioner - Internal Medicine | 4789679853 | Reassigns benefits to 1 organization |
| I20240111003786 | WI | Practitioner - Internal Medicine | 4789679853 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24559 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke'S Hospital of Duluth | Current | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current |
Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current |
Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current |
Accepting new patients | |
| St. Luke'S Hospital of Duluth | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
1001 E Superior St
Ste L401
Duluth, MN 55802
Phone (218) 249-7960
915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352
1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860
109 N 28th St E
Superior, WI 54880
Phone (715) 395-3900
3500 Tower Ave
Ste 1
Superior, WI 54880
Phone (715) 395-5457
Interoperability endpoints
- darvold237346@direct.aspirus.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 24559 | MN | Yes |
Addresses
Primary practice location
1001 E Superior St
Ste L401
Duluth, MN 55805
Mailing address
1001 E Superior St
Ste L401
Duluth, MN 55805
Phone (218) 249-7960
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 901293100 | Medicaid | MN | |
| P00115549 | Other | MN | MEDICARE RR |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@slk.direct.slhduluth.com |
Other providers in Duluth, MN
- Arrowhead Personal Care LLC
- Arrowhead Psychological Clinic, P.a.
- Ramin Artang
- Karen Leigh Arthur
- Arukah Health Services LLC
- Judith Goodrich Arvold
- Lisa Anne Arvold
- Nils D Arvold
- David Allen Arzouman
- Michael Dean Asbell
All providers in Duluth, MN · Internal Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.