Black Hills Surgical Hospital LLC

A Medicare group practice based in Rapid City, SD: 7 NPIs enrolled under one PECOS associate control ID (PAC ID 5496742835), with 224 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5496742835The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice, Part B Supplier - Hospital Department(S)
Enrolled in
SD
Enrollments
3
Group size
173 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
21In 5 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20040428000630 SD Part A Provider - Hospital 1679535132
O20050616000485 SD Part B Supplier - Clinic/Group Practice 1336009646
O20130513000380 SD Part B Supplier - Hospital Department(S) 1376896621

NPIs in this group 7

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 224

Page 1 of 3

Clinicians who reassign their Medicare benefits to this group (222) or whom Care Compare lists as members (173).

Sources for this page