Todd Duppong
Emergency Medicine in Fargo, ND. Individual provider (NPI-1).
NPI number1083078281
StatusActive
Last updated in NPPESOct 1, 2019
Details
- NPI
- 1083078281
- Entity type
- Individual (NPI-1)
- Name
- Todd Duppong
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 13, 2016
- Last updated
- Oct 1, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - EMERGENCY MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 15616 | ND | Yes |
| 207P00000X | Emergency Medicine | 65724 | MN |
Practice location
5225 23rd Ave SFargo, ND 58104-7927
Phone 701-417-2100
Mailing address
Po Box 2010Fargo, ND 58122-2484
Phone 701-417-2100
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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