NPIMap

Individual provider Active NPI

Noah N Chelliah, MD

  • Cardiovascular Disease Physician
  • Grand Forks, ND
National Provider Identifier
1952485740
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4722 Issued in ND
Practice address
1191 South Columbia Road
Grand Forks, ND 58201
Phone
(701) 780-2000
Fax
(701) 746-1663
NPI assigned
Oct 25, 2006
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 45526 MN
Cardiovascular Disease Physician 207RC0000X R7H383 MO
Cardiovascular Disease Physician 207RC0000X 4722 ND Primary

Addresses

Primary practice location

1191 South Columbia Road
Grand Forks, ND 58201

Mailing address

1191 South Columbia Road
Grand Forks, ND 58201
Phone (701) 780-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN, SD3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050922000993 ND Practitioner - Cardiovascular Disease (Cardiology) 9032166038 Reassigns benefits to 1 organization
I20061205000606 MN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9032166038 Reassigns benefits to 13 organizations
I20220512000579 SD Practitioner - Cardiovascular Disease (Cardiology) 9032166038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johnson Memorial Health ServicesGroup PAC ID 5395653836, shared by 5 NPIs, 17 clinicians
Riverview Healthcare AssociationGroup PAC ID 7810806718, shared by 6 NPIs, 46 clinicians
Avera Granite FallsGroup PAC ID 1456784560, shared by 4 NPIs, 15 clinicians

Practice addresses (Care Compare)

1191 S Columbia Rd
Grand Forks, ND 58201-4033
Phone (701) 780-2000

1282 Walnut St
Dawson, MN 56232-2333
Phone (320) 769-4323

205 7TH St W
Park Rapids, MN 56470-1545
Phone (218) 732-7760

323 S Minnesota St
Crookston, MN 56716-1601
Phone (218) 281-9200

345 10TH Ave
Granite Falls, MN 56241-1442
Phone (320) 564-3111

345 10TH Ave
Granite Falls, MN 56241-1499

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R7H383MOMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glacial Ridge Hospital District CurrentSince Jan 1, 2016 Accepting new patients
Johnson Memorial Health Services CurrentSince Jan 3, 2026 Accepting new patients
Glacial Ridge Hospital District CurrentSince Jan 1, 2016 Accepting new patients
Unity Family Healthcare Current Accepting new patients
Johnson Memorial Health Services CurrentSince Sep 1, 2023 Accepting new patients
Lake Region Healthcare Corporation CurrentSince Jun 25, 2013 Accepting new patients
Riverview Healthcare Association Current Accepting new patients
Riverview Healthcare Association CurrentSince Feb 14, 2018 Accepting new patients
Glacial Ridge Hospital District Current Accepting new patients
Prairie Lakes Health Care System Inc CurrentSince Apr 21, 2022 Accepting new patients
Glacial Ridge Hospital District Current Accepting new patients
Riverview Healthcare Association CurrentSince Feb 14, 2018 Accepting new patients
Avera Granite Falls Current Accepting new patients
Avera Granite Falls CurrentSince Jan 1, 2020 Accepting new patients
Prairie Lakes Health Care System Inc CurrentSince Apr 21, 2022 Accepting new patients
Johnson Memorial Health Services Current Accepting new patients
Unity Family Healthcare Current Accepting new patients
Riverview Healthcare Association Current Accepting new patients
Riverview Healthcare Association CurrentSince Jan 13, 2026 Accepting new patients
Johnson Memorial Health Services CurrentSince Sep 1, 2023 Accepting new patients
Lake Region Healthcare Corporation CurrentSince Jun 25, 2013 Accepting new patients
Unity Family Healthcare Cardiovascular Disease CurrentSince Aug 23, 2022 Accepting new patients
Unity Family Healthcare CurrentSince Aug 23, 2022 Accepting new patients

Locations

7892 Solutions Ctr
Chicago, IL 60677

323 S Minnesota St
Crookston, MN 56716
Phone (218) 281-9200

1282 Walnut St
Dawson, MN 56232
Phone (320) 769-4323

1411 Highway 79 E
Elbow Lake, MN 56531
Phone (218) 685-7300

649 State St NW
Evansville, MN 56326
Phone (218) 948-2040

10 4th Ave SE
Glenwood, MN 56334
Phone (320) 634-5157

417 Franklin St S
Glenwood, MN 56334
Phone (320) 634-5157

345 10th Ave
Granite Falls, MN 56241
Phone (320) 564-3111

811 2nd St SE
Little Falls, MN 56345
Phone (320) 631-7000

815 2nd St SE
Little Falls, MN 56345
Phone (320) 632-5441

300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631

401 9th Ave NW
Watertown, SD 57201
Phone (605) 886-9317

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/glac-1755385c
  • Direct secure messaging: nchelliah629475@direct.centracare.com

Organizations & group practices 24

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 24

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1952485740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 SOUTH COLUMBIA ROAD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "58201",
            "telephone_number": "701-780-2000",
            "fax_number": "701-746-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 SOUTH COLUMBIA ROAD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "58201",
            "telephone_number": "701-780-2000",
            "fax_number": "701-746-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHELLIAH",
        "first_name": "NOAH",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MN",
            "license": "45526",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "R7H383",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "ND",
            "license": "4722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

Verify at the official NPI Registry.