Travis Fitzke

Primary specialty

PodiatristTaxonomy code 213E00000X

License

251 Issued in SD

Practice address

Sanford Health 801 Broadway N
Fargo, ND 58122-0001

Phone

(701) 234-5933

Fax

(701) 234-7230

NPI assigned

May 8, 2019

Last updated

Oct 16, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Avera St MarysGroup PAC ID 0143134965, 97 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avera St Mary's Hospital Hospital, Pierre, SD, CCN 430015
• Winner Regional Healthcare Center - Cah Hospital, Winner, SD, CCN 431334

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: travis.fitzke@avera.sdhealthlink.net

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.

• Avera St Marys

  dba Avera St. Mary's Hospital

  • General Acute Care Hospital
  • Pierre, SD
  • NPI 1669457180
  Medicare reassignment Care Compare group NPD
• Winner Regional Healthcare Center

  • Critical Access Hospital
  • Winner, SD
  • NPI 1538233549
  Medicare reassignment NPD
• Avera St Marys

  dba Avera St Marys Hospital ER CRNA

  • Emergency Medicine Physician
  • Pierre, SD
  • NPI 1073305496
  NPD
• Avera St. Mary's

  dba Avera Therapy

  • Physical Therapist
  • Pierre, SD
  • NPI 1972082683
  NPD
• Winner Regional Healthcare Center

  dba Winner Family Drug

  • Community/Retail Pharmacy
  • Winner, SD
  • NPI 1467910539
  NPD
• Winner Regional Healthcare Center

  • Rural Health Clinic/Center
  • Winner, SD
  • NPI 1649550401
  NPD
• Avera McKennan

  dba Avera Medical Group Spencer

  • Family Medicine Physician
  • Spencer, IA
  • NPI 1902886567
  NPD (past)

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

• Avera St Marys

  dba Avera St. Mary's Hospital

  • General Acute Care Hospital
  • Pierre, SD
  • NPI 1669457180
  Care Compare affiliation
• Avera St Marys

  dba Avera Pierre Clinic

  • Multi-Specialty Clinic/Center
  • Pierre, SD
  • NPI 1720326713

  Hospital

  Care Compare affiliation
• Winner Regional Healthcare Center

  • Critical Access Hospital
  • Winner, SD
  • NPI 1538233549
  Care Compare affiliation

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1952966541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2334 CALLAWAY CT",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "57501",
            "telephone_number": "605-224-7070",
            "fax_number": "605-224-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SANFORD HEALTH 801 BROADWAY N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581220001",
            "telephone_number": "701-234-5933",
            "fax_number": "701-234-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZKE",
        "first_name": "TRAVIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-08",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "SD",
            "license": "251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Fiskness
• Derrick Fitterer, DPT
• Alicia Lynn Fitz, PHARMD, RPH
• Mary Carol Fitzgerald, MS, CCC-SLP
• Tara Lee Fitzgerald
• Laurie Ann Fitzpatrick, PHARMD
• Kealie Morgan Fitzsimonds, LAPC
• Kelly Dyanne Fix
• Diane Adele Fjelstad Kjelstrup, MD
• David B Flach, MD

• Podiatrist in Fargo, ND
• Providers in Fargo, ND by specialty
• Podiatrist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.