Individual provider Active NPI

Michael Fortney, M.D.

  • Diagnostic Radiology Physician
  • Bismarck, ND
National Provider Identifier
1891721858
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
9103 Issued in ND
Practice address
900 E Broadway Ave
Bismarck, ND 58501-4520
Phone
(701) 530-7000
NPI assigned
Jun 23, 2006
Last updated
Jul 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 9103 ND Primary

Addresses

Primary practice location

900 E Broadway Ave
Bismarck, ND 58501-4520

Mailing address

PO Box 997
Bismarck, ND 58502-0997
Phone (701) 530-7000

Other identifiers 2

IdentifierTypeStateIssuer
1464770MedicaidND
P00441491OtherNDRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, WA, AK3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040702001219 ND Practitioner - Diagnostic Radiology 0840277182 Reassigns benefits to 8 organizations
I20061026000014 WA Practitioner - Diagnostic Radiology 0840277182 Reassigns benefits to 9 organizations
I20220714002898 AK Practitioner - Diagnostic Radiology 0840277182 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of North Dakota School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whidbey Island Public Hospital DistrictGroup PAC ID 1658280680, shared by 13 NPIs, 100 clinicians
St Alexius Medical CenterGroup PAC ID 8426960865, 239 clinicians
Sanford Medical Center FargoGroup PAC ID 8426967803, 1,210 clinicians
Fairbanks Medical Imaging LLCGroup PAC ID 4082894407, 28 clinicians
Skagit Radiology Inc P SGroup PAC ID 7113815218, 39 clinicians

Practice addresses (Care Compare)

101 N Main St
Coupeville, WA 98239-3413

1177 Border LN
Washburn, ND 58577-4102
Phone (701) 462-3396

1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445

1720 University Dr S
Fargo, ND 58103-4940
Phone (701) 234-2000

2111 Landmark Cir NW
Minot, ND 58703-1967
Phone (701) 858-1800

220 5TH Ave W
Turtle Lake, ND 58575-4324
Phone (701) 448-2331

2310 Peger Rd
Suite 102
Fairbanks, AK 99709-5305
Phone (360) 424-6161

2500 Sunset Dr
Mandan, ND 58554-1540
Phone (701) 667-4600

4315 Ottawa St
Bismarck, ND 58503-6175
Phone (701) 530-3500

4908 Southbay Dr NE
Mandan, ND 58554-4746
Phone (360) 424-6161

4908 Southbay Dr SE
Mandan, ND 58554-4746
Phone (360) 678-5151

5225 23Rd Ave S
Fargo, ND 58104-7927
Phone (701) 417-2575

801 Broadway N
Fargo, ND 58102-3641
Phone (701) 234-2000

807 E Main Ave
Suite a
Bismarck, ND 58501-4527
Phone (701) 530-3700

900 E Broadway Ave
Bismarck, ND 58501-4520
Phone (701) 530-7000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Star Medical Imaging PLLC Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jan 6, 2025 Accepting new patients
Jefferson County Public Hospital District No 2 CurrentSince Nov 1, 2022 Accepting new patients
Sanford Medical Center Fargo Current Accepting new patients
Whidbey Island Public Hospital District Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Jefferson County Public Hospital District No 2 CurrentSince Nov 1, 2022 Accepting new patients
Iliuliuk Family and Health Services Inc CurrentSince May 1, 2023 Accepting new patients
Whidbey Island Public Hospital District CurrentSince Sep 1, 2022 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jan 6, 2025 Accepting new patients
Fairbanks Medical Imaging LLC Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Whidbey Island Public Hospital District Current Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Jun 28, 2024 Accepting new patients
Bellingham Advanced Medical Imaging LLC Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Bismarck Radiology Associates PC Diagnostic Radiology CurrentSince Jan 3, 2024 Accepting new patients
Whidbey Island Public Hospital District Diagnostic Radiology CurrentSince Oct 13, 2025 Accepting new patients
Whidbey Island Public Hospital District Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Skagit Radiology Inc P S Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Mid Dakota Clinic, Inc. Past Accepting new patients
Iliuliuk Family &Health Services, Inc. Past Accepting new patients

Locations

2310 Peger Rd
Ste 102
Fairbanks, AK 99709

250 Hospital Pl
Soldotna, AK 99669
Phone (907) 714-4404

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

1344 King St
Ste 101
Bellingham, WA 98229
Phone (360) 676-6393

101 N Main St
Coupeville, WA 98239
Phone (360) 678-7656

125 N 18th St
Ste C
Mount Vernon, WA 98273
Phone (360) 428-7274

1320 E Division St
Mount Vernon, WA 98274
Phone (360) 424-9607

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

1415 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 416-5750

1200 W Sims Way
Ste C
Port Townsend, WA 98368
Phone (360) 385-6297

834 Sheridan St
Port Townsend, WA 98368
Phone (360) 344-0400

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

Interoperability endpoints

  • Direct secure messaging: mfortney128325@achce.catholichealth.net

Organizations & group practices 21

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 21

Hospital & facility affiliations 5

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1891721858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 997",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585020997",
            "telephone_number": "701-530-7000",
            "fax_number": "701-530-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E BROADWAY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014520",
            "telephone_number": "701-530-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTNEY",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ND",
            "license": "9103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1464770",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00441491",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.