CARECONNECTMD NORTH DAKOTA PC
NPI 1639850118
General Practice in Fargo, ND
About Careconnectmd North Dakota Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARECONNECTMD NORTH DAKOTA PC (NPI 1639850118) is a healthcare organization registered as a general practice in Fargo, North Dakota and active in the NPI registry since July 2023. The organization lists Hyong Kim, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Careconnectmd North Dakota Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Careconnectmd North Dakota PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Careconnectmd North Dakota PC's NPI number?
The NPI number for Careconnectmd North Dakota PC is 1639850118. It was assigned to this organization in the NPPES registry on July 27, 2023.
Where is Careconnectmd North Dakota PC located?
Careconnectmd North Dakota PC is located at 1531 32nd Ave S Ste 102, Fargo, ND 58103. The listed phone number is (888) 789-9585.
What is Careconnectmd North Dakota PC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Careconnectmd North Dakota PC enrolled in Medicare?
Yes. Careconnectmd North Dakota PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Careconnectmd North Dakota PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Careconnectmd North Dakota PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Careconnectmd North Dakota PC was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Careconnectmd North Dakota Pc · NPI 1639850118
General Practice organization in Fargo, North Dakota. Organization record, active in the CMS NPPES registry since July 27, 2023.
## Identity
- **NPI:** 1639850118 (Entity type: Organization)
- **Enumerated:** July 27, 2023
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Hyong Kim, OWNER
## Practice location
- **Address:** 1531 32ND AVE S STE 102, Fargo, ND 58103-5911
- **Phone:** (888) 789-9585
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1639850118) · Data from the CMS NPPES public registry.