VALLEY MEDICAL CLINIC PC
NPI 1164537569
Anesthesiology - Pain Medicine in Fargo, ND
About Valley Medical Clinic Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VALLEY MEDICAL CLINIC PC (NPI 1164537569), doing business as Valley Internal Medicine Assoc, is a healthcare organization registered as a pain medicine in Fargo, North Dakota and active in the NPI registry since August 2006. The organization lists Panjini M Sivanna, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Valley Medical Clinic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date 2
Next revalidation due by December 31, 2026
This provider holds 2 Medicare enrollments with upcoming revalidation dates. Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Valley Medical Clinic PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Valley Medical Clinic PC's NPI number?
The NPI number for Valley Medical Clinic PC is 1164537569. It was assigned to this organization in the NPPES registry on August 19, 2006. The provider was formerly known as Valley Internal Medicine Assoc.
Where is Valley Medical Clinic PC located?
Valley Medical Clinic PC is located at 300 Main Ave Ste 200, Fargo, ND 58103. The listed phone number is (701) 297-0817.
What is Valley Medical Clinic PC's specialty?
The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.
Is Valley Medical Clinic PC enrolled in Medicare?
Yes. Valley Medical Clinic PC is registered in the Medicare PECOS enrollment system.
When is Valley Medical Clinic PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), Valley Medical Clinic PC holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by December 31, 2026 (Non-DME Part B, North Dakota, Clinic/Group Practice). Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Valley Medical Clinic PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Valley Medical Clinic PC, in Interventional Pain Management and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Valley Medical Clinic PC accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Valley Medical Clinic PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Valley Medical Clinic PC was last updated on April 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Valley Medical Clinic Pc · NPI 1164537569
Pain Medicine organization in Fargo, North Dakota. Organization record, active in the CMS NPPES registry since August 19, 2006.
## Identity
- **NPI:** 1164537569 (Entity type: Organization)
- **Enumerated:** August 19, 2006
- **Primary specialty:** Anesthesiology - Pain Medicine · taxonomy 207LP2900X
- **Organization subpart:** No
- **Authorized official:** Panjini Sivanna, PRESIDENT
## Practice location
- **Address:** 300 MAIN AVE, STE 200, Fargo, ND 58103-1930
- **Phone:** (701) 297-0817 · **Fax:** (701) 297-6870
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, North Dakota, Clinic/Group Practice), next of 2 enrollments with upcoming dates · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Interventional Pain Management (1), Nurse Practitioner (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 2, 2015
- **Other identifiers:** Medicare PIN N71067 (ND); Medicare UPIN D26296; Medicaid 11224 (ND)
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Source: [NPI Profile](https://npiprofile.com/npi/1164537569) · Data from the CMS NPPES public registry.