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PROMIL BHUTANI MD
NPI 1164581625
Family Medicine in Fargo, ND

Active since December 08, 2006PECOS Enrolled
2101 ELM ST N, FARGO, ND 58102(701) 335-4380 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Promil Bhutani Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROMIL BHUTANI MD (NPI 1164581625) is an individual family medicine provider in Fargo, North Dakota, licensed in Minnesota (52748) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164581625
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePROMIL BHUTANICredential: MD
Location Address2101 ELM ST NFargo, ND 58102-2417
Mailing Address2101 Elm St NFargo, ND 58102-2417 · (701) 335-4380
Phone(701) 335-4380
Sole ProprietorNo
Enumeration DateDecember 8, 2006
Last NPPES UpdateNovember 26, 2025
NPPES CertifiedNovember 26, 2025
✔ NPI 1164581625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MN · 52748✔ Licensed in NM · MD2006-0509
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2101 ELM ST N, Fargo, ND 58102
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Other Names 1

Former Name (1)Promil Alawadhi Md

Other Identifiers 5

Medicaid03073335NM
OtherMD2006-0509NM · License
OtherNM001P81NM · Bcbs
OtherP00405998NM · Railroad Medicare
Medicaid1164581625MN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Promil Bhutani Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GWEN P NORDAHL PA-C
Physician Assistant
2101 ELM ST N
FARGO, ND 58102
Cass County (218) 739-1400
ERICA MUCHOW RN
Registered Nurse
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 239-3700
JAZMYN RHEA HOGENSON RN
Registered Nurse (Medical-Surgical)
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 234-3241
HILLARY KATHERINE THEURER MSW
Social Worker
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 333-8135
KEVIN MCCARVEL RN
Registered Nurse (Ambulatory Care)
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 239-3700
INDRA P BHATTARAI
Specialist/Technologist, Pathology (Medical Technologist)
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 232-3241
MS. ROBIN LEE HARTMAN-BILBEN RN
Registered Nurse (Emergency)
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 237-2611
CEISHA LEINGANG RN
Registered Nurse
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 255-2048

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 Promil Bhutani's NPI number?

The NPI number for Promil Bhutani is 1164581625. It was assigned to this individual provider in the NPPES registry on December 8, 2006. The provider is also known as Promil Alawadhi MD.

Where is Promil Bhutani located?

Promil Bhutani practices at 2101 Elm St N, Fargo, ND 58102. The listed phone number is (701) 335-4380.

What is Promil Bhutani's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Promil Bhutani enrolled in Medicare?

Yes. Promil Bhutani is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Promil Bhutani was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.