MICHAEL STEPHEN MCHALE MD
NPI 1124017256
Internal Medicine - Hematology & Oncology in Sioux Falls, SD
NPI Status: Active since October 20, 2005
Contact Information
1000 E. 23RD ST.
STE. 230
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 322-6900
Fax: (605) 322-6901
- Individual
- Male
- Internal Medicine
- Hematology & Oncology
- Accepts Insurance
- PECOS Enrolled
About MICHAEL MCHALE
This page provides the complete NPI Profile along with additional information for Michael Mchale, an internist established in Sioux Falls, South Dakota with a medical specialization in Internal Medicine, focusing in hematology & oncology . The healthcare provider is registered in the NPI registry with number 1124017256 assigned on October 2005. The practitioner's primary taxonomy code is 207RH0003X with license number 1762 (SD). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1124017256
- Provider Name
- MICHAEL STEPHEN MCHALE MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1000 E. 23RD ST. STE. 230 SIOUX FALLS, SD 57105
- Location Phone
- (605) 322-6900
- Location Fax
- (605) 322-6901
- Mailing Address
- PO BOX 86370 SIOUX FALLS, SD 57118
- Mailing Phone
- (605) 322-7510
- Mailing Fax
- (605) 322-6901
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-20-2005
- Last Update Date
- 10-16-2018
- Code Navigator
An internist like Michael Mchale is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Hematology & Oncology
- Taxonomy Code
- 207RH0003X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 1762
- License State
- SD
- Taxonomy Description
- An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Premier Silver - EPO
- Premier Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Premier Bronze HSA - EPO
- Premier Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Avera Direct $2000 - HMO
- Avera Direct $4500 - HMO
- Avera Direct $6000 - HMO
- Avera Direct $7500 HSA Eligible HDHP - HMO
- Avera Direct MyWeighForward $1800 - HMO
- Avera Direct MyWeighForward $4000 - HMO
- Avera Direct Standard $1500 - HMO
- Avera Direct Standard $5000 - HMO
- Avera Direct Standard $7500 - HMO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - EPO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - EPO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - EPO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - EPO
- Medica Individual Choice Silver Standard - HMO
- Medica Insure Bronze $0 Copay PCP Visits - EPO
- Medica Insure Bronze Premier - EPO
- Sanford Individual Simplicity $1,750 - PPO
- Sanford Individual Simplicity $3,500 - PPO
- Sanford Individual Simplicity $4,750 - PPO
- Sanford Individual Simplicity $6,000 - PPO
- Sanford Individual Simplicity $7,100 HSA Qualified - PPO
- Sanford Individual Simplicity $9,200 - PPO
- Sanford Individual Simplicity Standardized $1,500 - PPO
- Sanford Individual Simplicity Standardized $5,000 - PPO
- Sanford Individual Simplicity Standardized $7,500 - PPO
- Wellmark Bronze HDHP HMO HSA Qualified - HMO
- Wellmark Bronze Traditional HMO - HMO
- Wellmark Gold Traditional HMO - HMO
- Wellmark Silver Traditional HMO - HMO
- Wellmark Standard Bronze HMO - HMO
- Wellmark Standard Gold HMO - HMO
- Wellmark Standard Silver HMO - HMO
- Wellmark Bronze HDHP EPO HSA Qualified - EPO
- Wellmark Bronze Traditional EPO - EPO
- Wellmark Gold Traditional EPO - EPO
- Wellmark Silver Traditional EPO - EPO
- Wellmark Standard Bronze EPO - EPO
- Wellmark Standard Gold EPO - EPO
- Wellmark Standard Silver EPO - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 24470 | OTHER (01) | HEALTHPARTNERS | |
| 30471 | OTHER (01) | IA | BLUE CROSS BLUE SHIELD IA |
| 2998450 | MEDICAID (05) | IA | |
| 169798 | OTHER (01) | UCARE | |
| P01072853 | OTHER (01) | SD | RR MEDICARE |
| 6630212 | MEDICAID (05) | SD | |
| 20851 | OTHER (01) | SIOUX VALLEY HEALTH PLAN | |
| 429521028115 | OTHER (01) | PREFERRED ONE | |
| 6630217 | MEDICAID (05) | SD | |
| 1229 | OTHER (01) | AVERA | |
| 261883400 | MEDICAID (05) | MN | |
| 1762 | OTHER (01) | DAKOTACARE | |
| 36-00289 | OTHER (01) | MEDICA-SELECTCARE | |
| 1689188 | OTHER (01) | THE ARAZ GROUP | |
| 830008098 | OTHER (01) | RAILROAD MEDICARE | |
| 0040332 | OTHER (01) | SD | BLUE CROSS BLUE SHIELD SD |
| 46048458000 | MEDICAID (05) | NE | |
| 268R4MC | OTHER (01) | MN | BLUE CROSS BLUE SHIELD MN |
Medicare Participation & PECOS Enrollment Status
Michael Mchale is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 57105 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $167.23
- Minimum New Patient Price $55.52
- Maximum New Patient Price $167.23
- Average New Patient Copayment $41.8
- Minimum New Patient Copayment $13.88
- Maximum New Patient Copayment $41.8
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $97.88
- Minimum Established Patient Price $18.08
- Maximum Established Patient Price $137.08
- Average Established Patient Copayment $24.47
- Minimum Established Patient Copayment $4.52
- Maximum Established Patient Copayment $34.27
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 2 | 4 | 0 | 1 | 7 | 2 | 5 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 4 | 4 | 0 | 1 | 14 | 2 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 4 + 4 + 0 + 1 + 1 + 4 + 2 + 1 + 0 + 24 = 44 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 44 = 6 | 6 | ||||||||
The NPI number 1124017256 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1609198126 | NANCY JEAN TERVEEN CNP Individual | Nurse Practitioner (Family) | 1000 E. 23RD ST. STE. 230 SIOUX FALLS, SD 57105 (605) 322-6900 |
| 1750357299 | MARK R HUBER M.D. Individual | Internal Medicine (Hematology & Oncology) | 1000 E. 23RD ST. STE. 230 SIOUX FALLS, SD 57105 (605) 322-6900 |
| 1871751867 | DAVID CHARLES STARKS MD Individual | Obstetrics & Gynecology (Gynecologic Oncology) | 1000 E. 23RD ST. STE. 350 SIOUX FALLS, SD 57105 (605) 322-7535 |
| 1902179906 | AHMED GALAL MD Individual | Internal Medicine (Hematology) | 1000 E. 23RD ST. STE. 200 SIOUX FALLS, SD 57105 (605) 322-3035 |
| 1467428995 | DAVID LEE ELSON M.D. Individual | Internal Medicine (Medical Oncology) | 1000 E. 23RD ST. STE. 230 SIOUX FALLS, SD 57105 (605) 322-6900 |
| 1992714281 | HEIDI ANN MCKEAN MD Individual | Internal Medicine (Hematology & Oncology) | 1000 E. 23RD ST. STE. 230 SIOUX FALLS, SD 57105 (605) 322-6900 |
| 1295701522 | KELLY GEORGE MCCAUL M.D. Individual | Internal Medicine (Hematology & Oncology) | 1000 E. 23RD ST. STE. 200 SIOUX FALLS, SD 57105 (605) 322-3035 |
| 1013983352 | VINOD PARAMESWARAN M.D. Individual | Internal Medicine (Hematology & Oncology) | 1000 E. 23RD ST. STE. 200 SIOUX FALLS, SD 57105 (605) 322-3035 |
| 1487784666 | CAROLE ANN CHELL CNP Individual | Nurse Practitioner (Family) | 1000 E. 23RD ST. STE 230 SIOUX FALLS, SD 57105 (605) 322-6900 |
| 1912107368 | BENJAMIN MAURICE SOLOMON MD Individual | Internal Medicine (Hematology & Oncology) | 1000 E. 23RD ST. SUITE 230 SIOUX FALLS, SD 57105 (605) 322-6900 |
| 1932346251 | AVERA MCKENNAN Organization | Obstetrics & Gynecology (Gynecologic Oncology) | 1000 E. 23RD ST. STE. 350 SIOUX FALLS, SD 57105 (605) 322-7535 |
| 1295961506 | APRIL JOY SCHNIEDER CNP Individual | Nurse Practitioner (Family) | 1000 E. 23RD ST. STE. 230 SIOUX FALLS, SD 57105 (605) 322-6900 |
| 1477847861 | AVERA MCKENNAN Organization | Radiology (Radiation Oncology) | 1000 E. 23RD ST. STE. 100 SIOUX FALLS, SD 57105 (605) 322-1625 |
| 1679874242 | JENNIFER LOUISE REINER CNP Individual | Nurse Practitioner (Women's Health) | 1000 E. 23RD ST. STE. 350 SIOUX FALLS, SD 57105 (605) 322-7535 |
| 1538135447 | AVERA MCKENNAN Organization | Internal Medicine (Hematology & Oncology) | 1000 E. 23RD ST. STE. 200 SIOUX FALLS, SD 57105 (605) 322-3035 |
| 1033185582 | AVERA MCKENNAN Organization | Internal Medicine (Hematology & Oncology) | 1000 E. 23RD ST. STE. 230 SIOUX FALLS, SD 57105 (605) 322-6900 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124017256, enumerated in the NPI registry as an "individual" on October 20, 2005
The provider is located at 1000 E. 23rd St. Ste. 230 Sioux Falls, Sd 57105 and the phone number is (605) 322-6900
The provider's speciality is Internal Medicine with taxonomy code 207RH0003X with a focus in Hematology & Oncology
The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $167.23 with an average copayment of $41.8 for new patient appointments. Established patients should expect a typical charge of $97.88 and an average copayment of 24.47. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on October 20, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.