AVISH NAGPAL MD
NPI 1922250273
Internal Medicine - Infectious Disease in Fargo, ND

Active since October 17, 2008PECOS EnrolledAccepts Medicare Assignment
82.99/100
CMS Quality Rating
736 BROADWAY N, FARGO, ND 58102(701) 234-2000 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Avish Nagpal Md NPPES

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

AVISH NAGPAL MD (NPI 1922250273) is an individual infectious disease provider in Fargo, North Dakota, licensed in North Dakota (12554) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and maintains a secondary practice location in Fargo.

NPPES Registry Identity

NPI1922250273
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameAVISH NAGPALCredential: MD
Location Address736 BROADWAY NFargo, ND 58102-4421
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateOctober 17, 2008
Last NPPES UpdateJuly 17, 2023
NPPES CertifiedJuly 17, 2023
NPI 1922250273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses Licensed in ND · 12554 Licensed in MN · 53421 Licensed in MN · 104958
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
736 BROADWAY N, Fargo, ND 58102

Secondary Practice Location 1

Location 1801 Broadway NFargo, ND 58102-3641 · Phone (701) 234-2353 · Fax (701) 234-3816

Other Identifiers 3

MedicaidENROLLEDMN
Medicaid18082ND
OtherP01176239MN · Railroad Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Avish Nagpal Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668598178
PECOS Enrollment IDI20130730000255
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
300 services130 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
135 services126 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
62 services46 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

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
$127.45 typical visit price
range $55.75 – $168.12
Typical copayment $31.86 (range $13.93 – $42.03)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.06
Promoting Interoperability99
Improvement Activities40
Cost57.08

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.

Internal Medicine (Nephrology)
736 BROADWAY N
FARGO, ND 58102
Psychiatry & Neurology (Psychiatry)
736 BROADWAY N
FARGO, ND 58102
Physician Assistant
736 BROADWAY N
FARGO, ND 58102
Dietitian, Registered
736 BROADWAY N
FARGO, ND 58102
Physical Therapist (Orthopedic)
736 BROADWAY N
FARGO, ND 58102
Nurse Practitioner
736 BROADWAY N
FARGO, ND 58102
Physical Therapist
736 BROADWAY N
FARGO, ND 58102
Physical Medicine & Rehabilitation
736 BROADWAY N
FARGO, ND 58102

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 Avish Nagpal's NPI number?

The NPI number for Avish Nagpal is 1922250273. It was assigned to this individual provider in the NPPES registry on October 17, 2008.

Where is Avish Nagpal located?

Avish Nagpal practices at 736 Broadway N, Fargo, ND 58102. The listed phone number is (701) 234-2000.

What is Avish Nagpal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Avish Nagpal enrolled in Medicare?

Yes. Avish Nagpal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Avish Nagpal accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan and Security Health Plan list Avish Nagpal 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.

Is Avish Nagpal affiliated with any hospitals?

According to CMS data, Avish Nagpal is affiliated with Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for Avish Nagpal was last updated on July 17, 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.