Individual provider Active NPI

Carrie Ann Laituri, MD

  • Pediatric Surgery Physician
  • Fargo, ND
National Provider Identifier
1942451687
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
18889 Issued in ND
Practice address
5225 23Rd Ave S
Fargo, ND 58104-7927
Phone
(701) 417-2575
Fax
(954) 981-0188
NPI assigned
Sep 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X ME119964 FL
Pediatric Surgery Physician 2086S0120X 72666 MN
Pediatric Surgery Physician 2086S0120X 18889 ND Primary

Addresses

Primary practice location

5225 23Rd Ave S
Fargo, ND 58104-7927

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other practice location 1

5830 Coral Ridge Dr Ste 140
Coral Springs, FL 33076-3388
Phone (954) 265-0072

Other practice location 2

3377 S State Rd 7
Suite 100
Wellington, FL 33449
Phone (561) 341-7000

Other practice location 3

1951 SW 172nd Ave Ste 204
Miramar, FL 33029-5613
Phone (954) 265-0072

Other identifiers 1

IdentifierTypeStateIssuer
013105000MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address claituri154650@MHSDIRECT.NET Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, ND, MN3 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
I20140927000141 FL Practitioner - General SurgeryPractitioner - Other (Physician) 0345460267 Reassigns benefits to 1 organization
I20230127000450 ND Practitioner - Pediatric MedicinePractitioner - General Practice 0345460267 Reassigns benefits to 1 organization
I20230131001542 MN Practitioner - Pediatric MedicinePractitioner - General Surgery 0345460267 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: General Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical Center FargoGroup PAC ID 8426967803, 1,210 clinicians

Practice addresses (Care Compare)

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

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health of Northern Minnesota CurrentSince Jan 9, 2023 Accepting new patients
South Broward Hospital District Pediatric Surgery CurrentSince Nov 1, 2016 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jan 9, 2023 Accepting new patients
South Broward Hospital District CurrentSince Nov 1, 2016 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jan 9, 2023 Accepting new patients
Sanford Health of Northern Minnesota Current Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Jan 9, 2023 Accepting new patients

Locations

5830 Coral Ridge Dr
Ste 140
Coral Springs, FL 33076
Phone (954) 265-1616

1150 N 35th Ave
Ste 555
Hollywood, FL 33021
Phone (954) 981-0072

1951 SW 172nd Ave
Ste 204
Miramar, FL 33029
Phone (954) 967-9400

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

5225 23rd Ave S
Fargo, ND 58104
Phone (701) 234-5933

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

Interoperability endpoints

  • Direct secure messaging: claituri154650@mhsdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1942451687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 23RD AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047927",
            "telephone_number": "701-417-2575",
            "fax_number": "954-981-0188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5830 Coral Ridge Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330763388",
            "country_code": "US",
            "telephone_number": "954-265-0072",
            "fax_number": "954-981-0188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3377 S State Rd 7",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "33449",
            "country_code": "US",
            "telephone_number": "561-341-7000",
            "fax_number": "954-985-0188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1951 SW 172nd Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330295613",
            "country_code": "US",
            "telephone_number": "954-265-0072",
            "fax_number": "954-981-0188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAITURI",
        "first_name": "CARRIE",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "FL",
            "license": "ME119964",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "MN",
            "license": "72666",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "ND",
            "license": "18889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013105000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "claituri154650@MHSDIRECT.NET",
            "affiliation": "N",
            "endpointDescription": "MHS DSM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1150 N 35th Ave Ste 555",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.