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Dr. Corey John Kroetsch , MD

Surgery β€’ Fargo, ND

Active NPI 1194987669 Individual Practitioner Male Practitioner
Practice location in NPPES

2101 Elm St N
Fargo, ND 581022417

Call 7012393700 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2101 Elm St N

Fargo, ND 581022417

Telephone 7012393700
Organization at the Same NPPES Address or Phone
Fargo Vamc Facility NPI 1700844636

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $33.53 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fargo and North Dakota

30 active clinicians are listed under Surgery with a practice address in Fargo, ND (142 in North Dakota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fargo

10% of these 30 clinicians have the CMS telehealth indicator.

63.3% of these 30 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $33.53.

Manufacturer Payment Nature Product Type Amount ($)
LeMaitre Vascular, Inc.
Food and Beverage
Cash or cash equivalent
ARTEGRAFT VASCULAR GRAFT General $33.53

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-02-27
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES ND 12072

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

License # reported to NPPES ND RL10258

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: North Dakota State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
16491 (ND)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

9 listed
NPI 1033598214

Doctor of Medicine (M.D.)

Dr. Christina Arauz , MD

Internal Medicine

NPI 1114331055

Doctor of Medicine (M.D.)

Dr. Craig Backous , DO

Internal Medicine - Pulmonary Disease

NPI 1073713418

Doctor of Osteopathic Medicine (D.O.)

Dr. Tara Charboneau , DNP APRN FNP-C

Nurse Practitioner - Family

NPI 1033788997

DNPAPRNFNPC

Dr. Joshua Leclaire , DO

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1093980476

Doctor of Osteopathic Medicine (D.O.)

Dr. Stephen Lee , MD

Emergency Medicine

NPI 1013940907

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location February 27, 2025

Registered at 2101 ELM ST N, FARGO, ND 581022417 (Tel: 7012393700)

πŸ“
Updated Business Mailing Address February 27, 2025

Registered at 2101 ELM ST N, FARGO, ND 581022417 (Tel: 7012393700)

βœ…
NPI Profile Active January 17, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 17, 2012

Registered at 801 BROADWAY N, FARGO, ND 581023641 (Tel: 7012345884)

πŸ“
Business Mailing Address (Initial Record) January 17, 2012

Registered at 801 BROADWAY N, FARGO, ND 581023641 (Tel: 7012345884)

πŸ‘€
Provider Name / Credentials (Initial Record) January 17, 2012

Recorded as COREY KROETSCH, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2012

Surgery (license number reported to NPPES: ND 12072)

🟒
Initial NPI Registration & Enumeration June 26, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1194987669
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2008
Last Update: February 27, 2025
Sole Proprietor: No

Other Surgery Specialists in Fargo

All Surgery Specialists in Fargo

Mailing Address

2101 Elm St N

Fargo, ND 581022417

Phone: 7012393700

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.