Sudhir K Chavour, MD
Individual provider Active NPI Hospitalist Physician · Fargo, ND
NPI 1891710604 · NPPES record last updated Jul 15, 2021
Key facts
- NPI
- 1891710604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 10274 (ND)
- Practice address
- 801 Broadway N
Fargo, ND 58102-3641 - Phone
- (701) 234-2000
- Fax
- (701) 234-2080
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sanford Medical Center Fargo
Practice addresses (Care Compare)
1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445
1720 University Dr S
Fargo, ND 58103-4940
Phone (701) 234-2000
5225 23Rd Ave S
Fargo, ND 58104-7927
Phone (701) 417-2575
801 Broadway N
Fargo, ND 58102-3641
Phone (701) 234-2000
Hospital & facility affiliations
- Sanford Fargo Hospice
- Sanford Medical Center Fargo
- Essentia Health
- Vibra Hospital of Fargo
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.73 of 100
- Quality
- 71.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.68
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060912000136 | ND | Practitioner - Hospitalist |
1052315728 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center Fargo | Internal Medicine | Current |
Accepting new patients |
| Sanford Medical Center Fargo | Current |
Accepting new patients | |
| Vibra Hospital of Fargo LLC | Past | Accepting new patients |
Locations
801 Broadway N
Fargo, ND 58102
Phone (701) 234-5121
2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800
1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 10274 | ND | Yes |
| Internal Medicine Physician | 207R00000X | 10274 | ND | |
| Internal Medicine Physician | 207R00000X | PT10274 | ND |
Addresses
Primary practice location
801 Broadway N
Fargo, ND 58102-3641
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (701) 234-2000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13840 | Medicaid | ND |
Other providers in Fargo, ND
- Carl Charley
- Justin N Chase
- Shelby Chase
- Cody Chathams
- Sandipkumar Sevantibhai Chaudhari
- Safia Hope Cheeney
- Virginia Chefor
- Sugong Chen
- Steven Jordanoff Chervenkoff
- Kallie Elizabeth Chesbrough
All providers in Fargo, ND · Hospitalist Physician in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2021. 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.