Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Travis Vandewater, MD

Individual provider Dermatology Physician · NPI 1881268217

Travis Vandewater, MD is a Dermatology in Fargo, North Dakota. Graduated from Medical College of Wisconsin in 2021, 5 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
5
Trained at
Medical College of Wisconsin
Licensed in
WI
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4656 40th Ave S
Fargo, ND 58104-4397
Phone: (701) 234-8860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 — (414) 955-4575

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 82923-20 (WI)

Record details

NPI number1881268217
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 19, 2021
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025
Mailing addressPo Box 5074, Sioux Falls, SD 57117-5074

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2021 (5 years in practice)
Group practice Sanford Medical Center Fargo — 1212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fargo