Kathryn Ann Agamawi, MD
Individual provider Active NPI Urology Physician · Fargo, ND
NPI 1972023018 · NPPES record last updated Sep 13, 2023
Key facts
- NPI
- 1972023018
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- 19811 (ND)
- Practice address
- 801 Broadway N
Fargo, ND 58102-3641 - Phone
- (701) 234-2000
- NPI assigned
- Jun 20, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 20
Hospital & facility affiliations 14
Medicare Care Compare profile
- Specialty
- Urology
- Education
- University of Minnesota Medical School, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sanford Medical Center Fargo
Sanford Health Network North
Practice addresses (Care Compare)
1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445
1720 Hwy 59 S
Thief River Falls, MN 56701-4331
Phone (218) 681-4747
3001 Sanford Pkwy
Thief River Falls, MN 56701-2700
Phone (218) 683-2725
801 Broadway N
Fargo, ND 58102-3641
Phone (701) 234-2000
Hospital & facility affiliations
- Sanford Medical Center Fargo
- Sanford Thief River Falls Medical Center
- Perham Health
- Sanford Bemidji Medical Center
- Sanford Mayville
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.39 of 100
- Quality
- 91.62
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 66.36
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.22 of 100
- Quality
- 90.28
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.7
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.73 of 100
- Quality
- 71.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.68
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ND, MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230929000542 | ND | Practitioner - Urology | 6002260718 | Reassigns benefits to 1 organization |
| I20230929003397 | MN | Practitioner - Urology | 6002260718 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017020622 | MO | MD | Anesthesiology Physician |
| 19811 | ND | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center Fargo | Current |
Accepting new patients | |
| Sanford Medical Center Fargo | Anesthesiology | Current |
Accepting new patients |
| Sanford Health Network North | Current |
Accepting new patients | |
| Sanford Health Network North | Current |
Accepting new patients | |
| Sanford Health Network North | Current | Accepting new patients | |
| Sanford Health Network North | Past | Accepting new patients | |
| Sanford Medical Center Fargo | Past | Accepting new patients |
Locations
3001 Sanford Pkwy
Thief Rvr Fls, MN 56701
Phone (218) 681-4240
1720 US Highway 59 SE
Thief Rvr Fls, MN 56701
Phone (218) 681-4747
801 Broadway N
Fargo, ND 58102
Phone (701) 234-5121
1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2017020622 | MO | |
| Urology Physician | 208800000X | 75194 | MN | |
| Urology Physician | 208800000X | 19811 | ND | Yes |
Addresses
Primary practice location
801 Broadway N
Fargo, ND 58102-3641
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other practice location 1
1 Barnes Jewish Hospital Plz
Saint Louis, MO 63110-1003
Phone (314) 362-5000
Other names
- Kathryn Ann Thibert
Other providers in Fargo, ND
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- Habiba Afifi
- Sarah Afriyie
- Yusuf Mosen Agamawi
- Agape Homecare LLC
- Nisha Agarwal
- Saloni Sunil Agarwal
- Ryan Agema
All providers in Fargo, ND · Urology 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 Sep 13, 2023. 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.