Individual provider Active NPI

Adam Michael McGauvran, MD

  • Diagnostic Radiology Physician
  • Grand Forks, ND
National Provider Identifier
1972858652
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
56996 Issued in MN
Practice address
1200 S Columbia Rd
Grand Forks, ND 58201-4036
Phone
(701) 780-5246
Fax
(701) 780-5772
NPI assigned
Jul 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 24990 MN
Surgery Physician 208600000X TRL 12380 ND
Diagnostic Radiology Physician 2085R0202X 56996 MN Primary

Addresses

Primary practice location

1200 S Columbia Rd
Grand Forks, ND 58201-4036

Mailing address

1200 S Columbia Rd
Grand Forks, ND 58201-4036
Phone (701) 780-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ND, ID3 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
I20131008000114 MN Practitioner - Diagnostic Radiology 9234363284 Reassigns benefits to 2 organizations
I20180720001084 ND Practitioner - Diagnostic Radiology 9234363284 Reassigns benefits to 5 organizations
I20260225001134 ID Practitioner - Diagnostic Radiology 9234363284 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of North Dakota School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altru Health SystemGroup PAC ID 1355251604, shared by 14 NPIs, 675 clinicians
Florida Radiology Consultants P aGroup PAC ID 3678471943, 70 clinicians
North Canyon Medical Center IncGroup PAC ID 0941371439, 73 clinicians

Practice addresses (Care Compare)

1200 S Columbia Rd
Grand Forks, ND 58201-4036
Phone (701) 780-5000

15 Edgewood CT
Grand Forks, ND 58201-8626
Phone (239) 344-9327

267 N Canyon Dr
Gooding, ID 83330-5500
Phone (208) 934-4433

400 S Minnesota St
Crookston, MN 56716-1808
Phone (218) 281-9100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24990MNMDDiagnostic Radiology Physician
TRL 12380NDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Radiology Contracting LLC Diagnostic Radiology CurrentSince May 2, 2026 Accepting new patients
Cavalier County Memorial Hospital Association CurrentSince Nov 2, 2018 Accepting new patients
Altru Health System Surgery Current Accepting new patients
North Canyon Medical Center Inc. CurrentSince Feb 1, 2026 Accepting new patients
P R Health Corporation CurrentSince Jan 1, 2026 Accepting new patients
Altru Health System CurrentSince Jun 28, 2018 Accepting new patients
North Canyon Medical Center, Inc. CurrentSince Feb 1, 2026 Accepting new patients
P R Health Corporation CurrentSince Jan 1, 2026 Accepting new patients
Florida Radiology Consultants P a Diagnostic Radiology CurrentSince Apr 29, 2024 Accepting new patients
Altru Health System CurrentSince Jun 28, 2018 Accepting new patients
Altru Health System CurrentSince Jul 28, 2018 Accepting new patients
Altru Health System Current Accepting new patients
Winona Health Services CurrentSince Feb 28, 2014 Accepting new patients

Locations

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

267 N Canyon Dr
Gooding, ID 83330
Phone (208) 934-4433

400 S Minnesota St
Crookston, MN 56716
Phone (218) 281-9100

607 Demers Ave
East Grand Forks, MN 56721
Phone (218) 773-0357

19120 200th St
Greenbush, MN 56726
Phone (218) 782-2400

500 W Grant St
Lake City, MN 55041
Phone (651) 345-3321

711 Delmore Dr
Roseau, MN 56751
Phone (218) 463-1365

412 Main Ave NE
Warroad, MN 56763
Phone (218) 386-2020

855 Mankato Ave
Winona, MN 55987
Phone (507) 454-3680

1200 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5243

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891

909 2nd St
Langdon, ND 58249
Phone (701) 256-6100

901 2nd St
Langdon, ND 58249
Phone (701) 256-6100

Organizations & group practices 13

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.

View all 13

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": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1972858652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S COLUMBIA RD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014036",
            "telephone_number": "701-780-5000",
            "fax_number": "701-780-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S COLUMBIA RD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014036",
            "telephone_number": "701-780-5246",
            "fax_number": "701-780-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGAUVRAN",
        "first_name": "ADAM",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-18",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "24990",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ND",
            "license": "TRL 12380",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "56996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

Verify at the official NPI Registry.