AVERA MEDICAL GROUP PULMONARY AND SLEEP MEDICINE SIOUX FALLS
NPI 1386610004
Internal Medicine - Pulmonary Disease in Sioux Falls, SD
NPI Status: Active since February 23, 2006
Contact Information
1301 S. CLIFF AVE.
STE. 601
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 322-6930
Fax: (605) 322-6931
- Organization
- Internal Medicine
- Pulmonary Disease
- Accepts Insurance
About AVERA MEDICAL GROUP PULMONARY AND SLEEP MEDICINE SIOUX FALLS
This page provides the complete NPI Profile along with additional information for Avera Medical Group Pulmonary And Sleep Medicine Sioux Falls, an internist established in Sioux Falls, South Dakota operating as a Internal Medicine, focusing in pulmonary disease . The healthcare provider is registered in the NPI registry with number 1386610004 assigned on February 2006. The practitioner's primary taxonomy code is 207RP1001X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Avera Medical Group Pulmonary And Sleep Medicine Sioux Falls. The authorized official of this NPI record is David Flicek (Ceo/president)
- NPI
- 1386610004
- Provider Legal Name
- AVERA MCKENNAN
- Other Organization Name
- AVERA MEDICAL GROUP PULMONARY AND SLEEP MEDICINE SIOUX FALLS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1301 S. CLIFF AVE. STE. 601 SIOUX FALLS, SD 57105
- Location Phone
- (605) 322-6930
- Location Fax
- (605) 322-6931
- Mailing Address
- 2400 S. MINNESOTA AVE. STE. 100 SIOUX FALLS, SD 57105
- Mailing Phone
- (605) 322-7510
- Mailing Fax
- (605) 322-6931
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-23-2006
- Last Update Date
- 10-24-2018
- Code Navigator
An internist like Avera Medical Group Pulmonary And Sleep Medicine Sioux Falls 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 Pulmonary Disease
- Taxonomy Code
- 207RP1001X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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 $1800 - PPO
- Avera $2000 - PPO
- Avera $4000 - PPO
- Avera $4500 - PPO
- Avera $6000 - PPO
- Avera $7500 HSA Eligible HDHP - PPO
- Avera $9200 - PPO
- Avera Standard $1500 - PPO
- Avera Standard $5000 - PPO
- Avera Standard $7500 - PPO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - HMO
- Medica Insure Bronze $0 Copay PCP Visits - EPO
- Medica Insure Bronze Premier - EPO
- Medica Insure Bronze Share - EPO
- Medica Insure Expanded Bronze Standard - EPO
- Medica Insure Gold $0 Copay PCP Visits - EPO
- Medica Insure Gold Share - EPO
- Medica Insure Gold Standard - EPO
- Medica Insure Silver $0 Copay PCP Visits - EPO
- Medica Insure Silver Share - EPO
- Medica Insure Silver Standard - 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
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 |
|---|---|---|---|
| 0040252 | OTHER (01) | SD | BCBS SD |
| 92411422905 | OTHER (01) | MN | PRIME WEST |
| =========7 | MEDICAID (05) | NE | |
| 286T1PU | OTHER (01) | MN | BCBS MN |
| 0555169 | MEDICAID (05) | IA | |
| 370624200 | OTHER (01) | SD | DEPT OF LABOR |
| 84208 | OTHER (01) | SD | HEALTHPARTNERS |
| 984617400 | MEDICAID (05) | MN | |
| 286T1PU | OTHER (01) | MN | BLUE PLUS |
| 9202238 | OTHER (01) | SD | DAKOTACARE |
Reviews for AVERA MEDICAL GROUP PULMONARY AND SLEEP MEDICINE SIOUX FALLS
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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 | 3 | 8 | 6 | 6 | 1 | 0 | 0 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 16 | 6 | 12 | 1 | 0 | 0 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 6 + 6 + 1 + 2 + 1 + 0 + 0 + 0 + 24 = 46 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 46 = 4 | 4 | ||||||||
The NPI number 1386610004 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1669752358 | AMY SUE THOMPSON CNP Individual | Nurse Practitioner (Family) | 1301 S. CLIFF AVE. STE. 401 SIOUX FALLS, SD 57105 (605) 322-7300 |
| 1346482890 | MARGARET A CARMODY M.D. Individual | Neurological Surgery | 1301 S. CLIFF AVE. STE. 610 SIOUX FALLS, SD 57105 (605) 322-8860 |
| 1912973785 | FADY GHASSAN JAMOUS M.D. Individual | Internal Medicine (Pulmonary Disease) | 1301 S. CLIFF AVE. STE. 601 SIOUX FALLS, SD 57105 (605) 322-6930 |
| 1134195332 | AVERA MCKENNAN Organization | Physical Medicine & Rehabilitation | 1301 S. CLIFF AVE. STE. 401 SIOUX FALLS, SD 57105 (605) 322-7300 |
| 1427463371 | ELIZABETH CECILIA EDMAN CNP Individual | Nurse Practitioner (Adult Health) | 1301 S. CLIFF AVE. SUITE 400 SIOUX FALLS, SD 57105 (605) 322-5750 |
| 1114113693 | AVERA MCKENNAN Organization | Neurological Surgery | 1301 S. CLIFF AVE. SIOUX FALLS, SD 57105 (605) 322-8860 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386610004, enumerated in the NPI registry as an "organization" on February 23, 2006
The provider is located at 1301 S. Cliff Ave. Ste. 601 Sioux Falls, Sd 57105 and the phone number is (605) 322-6930
This medical organization specializes in Internal Medicine with taxonomy code 207RP1001X with a focus in Pulmonary Disease
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.
This NPI record was last updated on February 23, 2006. 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.