Individual provider Active NPI

Jorge E Patino-Buelvas, M.D.

  • Family Medicine Physician
  • Sioux Falls, SD
National Provider Identifier
1003040296
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8501 Issued in SD
Practice address
2501 W 22ND St
Sioux Falls, SD 57105-1305
Phone
(605) 336-3230
Fax
(605) 373-4010
NPI assigned
May 4, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 8501 SD Primary

Addresses

Primary practice location

2501 W 22ND St
Sioux Falls, SD 57105-1305

Mailing address

PO Box 5046
Sioux Falls, SD 57117-5046
Phone (605) 336-3230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121017000503 SD Practitioner - Family Practice 2769632314 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, shared by 52 NPIs, 957 clinicians

Practice addresses (Care Compare)

1200 S 7TH Ave
Sioux Falls, SD 57105-0900
Phone (605) 336-2140

1600 S Highline Ave
Sioux Falls, SD 57110-1008

1600 S Highline Ave
Suite 310
Sioux Falls, SD 57110-1007
Phone (605) 322-7600

1910 W 69TH St
Sioux Falls, SD 57108-5612
Phone (605) 322-5200

2100 S Marion Rd
Sioux Falls, SD 57106-3646
Phone (605) 322-5180

Hospital & facility affiliations

  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Family Medicine CurrentSince Jul 31, 2012 Accepting new patients
Sanford Medical Center CurrentSince Jul 31, 2012 Accepting new patients
Sanford Clinic CurrentSince Jul 31, 2012 Accepting new patients
Avera McKennan Current Accepting new patients
Sanford Clinic CurrentSince Jul 31, 2012 Accepting new patients
Avera McKennan Family Medicine CurrentSince Feb 15, 2017 Accepting new patients
Bowdle Hospital Current Accepting new patients
Sanford Clinic Current Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan CurrentSince Feb 15, 2017 Accepting new patients

Locations

916 4th Ave SW
Pipestone, MN 56164
Phone (507) 825-5811

300 22nd Ave
Brookings, SD 57006
Phone (605) 692-6351

917 N Washington Ave
Madison, SD 57042
Phone (605) 256-6551

323 SW 10th St
Madison, SD 57042
Phone (605) 256-6551

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

2701 S Kiwanis Ave
Sioux Falls, SD 57105
Phone (605) 328-9100

1200 S 7th Ave
Sioux Falls, SD 57105
Phone (605) 336-2140

1500 W 22nd St
Ste 102
Sioux Falls, SD 57105
Phone (605) 328-8800

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

2501 W 22nd St
Sioux Falls, SD 57105

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1003040296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5046",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175046",
            "telephone_number": "605-336-3230",
            "fax_number": "605-373-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W 22ND ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051305",
            "telephone_number": "605-336-3230",
            "fax_number": "605-373-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATINO-BUELVAS",
        "first_name": "JORGE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-04",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "8501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.