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DR. BEAU RYAN BURKHOLDER MD
NPI 1932720877
Anesthesiology in Fargo, ND

Active since May 01, 2020PECOS EnrolledAccepts Medicare Assignment
3000 32ND AVE S, FARGO, ND 58103(701) 364-8900 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Beau Ryan Burkholder Md NPPES

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

DR. BEAU RYAN BURKHOLDER MD (NPI 1932720877) is an individual anesthesiology provider in Fargo, North Dakota, licensed in North Dakota (21509) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Marys - Detroit Lakes, and is a graduate of University Of North Dakota School Of Medicine (2020).

NPPES Registry Identity

NPI1932720877
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. BEAU RYAN BURKHOLDERCredential: MD
Location Address3000 32ND AVE SFargo, ND 58103-6132
Mailing Address400 E 3rd StDuluth, MN 55805-1951 · (218) 786-8364
Phone(701) 364-8900
Sole ProprietorYes
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2020
Enumeration DateMay 1, 2020
Last NPPES UpdateAugust 19, 2024
NPPES CertifiedAugust 19, 2024
✔ NPI 1932720877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in ND · 21509
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
3000 32ND AVE S, Fargo, ND 58103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Beau Ryan Burkholder 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 ID3476092644
PECOS Enrollment IDI20240902000151
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.

Medicare Billing Reassignment

Medicare enrollment records show Beau Burkholder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Innovis Health, LLC
0.1 mi
General Acute Care Hospital
3000 32ND AVE S
Fargo, ND 58103
  • Reassigned Medicare billing, North Dakota enrollment
  • 617 clinicians in this Medicare group
NPI 1215125463 (701) 364-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
19 services19 patients
Anesthesia for x-ray or radiation therapy 01922
Anesthesia for x-ray or radiation therapy involves administering medication to help you relax or sleep during the procedure. It's used to ensure comfort, minimize movement, and reduce anxiety. The type of anesthesia used depends on the procedure and patient's health.
16 services16 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Essentia Health St Marys - Detroit Lakes

Acute Care Hospitals · Detroit Lakes, MN
OwnershipVoluntary non-profit - Church
CMS Certification Number240101
Location1027 Washington AveDetroit Lakes, MN 56501 · Becker County
Birthing friendly

Essentia Health

Acute Care Hospitals · Fargo, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350070
Location3000 32nd Ave SouthFargo, ND 58104 · Cass County
Emergency services Birthing friendly

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.

ZENA KAY HOMAN M.D.
Obstetrics & Gynecology
3000 32ND AVE S
FARGO, ND 58103
Cass County (701) 364-8000
DR. ADAM JOHN DEFOE M.D.
Radiology (Diagnostic Radiology)
3000 32ND AVE S
FARGO, ND 58103
Cass County (701) 364-8000
LESLIE ANNE MYER OTR/L
Occupational Therapist
3000 32ND AVE S
FARGO, ND 58103
Cass County (701) 364-8000
ABDALLAH M MANSOUR MD
Internal Medicine (Cardiovascular Disease)
3000 32ND AVE S
FARGO, ND 58103
Cass County (701) 364-8900
DR. JOAN L VIETS PHARM.D.
Pharmacist
3000 32ND AVE S
FARGO, ND 58103
Cass County (701) 364-8140
ZACHARY JOSEPH ERNST M.D.
Surgery
3000 32ND AVE S
FARGO, ND 58103
Cass County (701) 364-8000
MR. NICHOLAS HENRY FREDERIKSEN APRN,CNP
Nurse Practitioner (Adult Health)
3000 32ND AVE S
FARGO, ND 58103
Cass County (701) 364-8000
MUHAMMAD WAQAS MD
Hospitalist
3000 32ND AVE S
FARGO, ND 58103
Cass County (701) 364-8000

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 Beau Burkholder's NPI number?

The NPI number for Beau Burkholder is 1932720877. It was assigned to this individual provider in the NPPES registry on May 1, 2020.

Where is Beau Burkholder located?

Beau Burkholder practices at 3000 32nd Ave S, Fargo, ND 58103. The listed phone number is (701) 364-8900.

What is Beau Burkholder's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Beau Burkholder enrolled in Medicare?

Yes. Beau Burkholder 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.

Which organization bills Medicare for Beau Burkholder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Beau Burkholder reassigns Medicare benefits to Innovis Health, LLC (Fargo, ND). The 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 Beau Burkholder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Beau Burkholder accept?

Health plans from Blue Cross Blue Shield of North Dakota list Beau Burkholder 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 Beau Burkholder affiliated with any hospitals?

According to CMS data, Beau Burkholder is affiliated with Essentia Health St Marys - Detroit Lakes and Essentia Health.

When was this NPI record last updated?

The NPPES record for Beau Burkholder was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.