Glenn A. Ridder, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3483 Issued in SD

Practice address

6110 S Minnesota Ave
Sioux Falls, SD 57108-2549

Phone

(605) 328-5800

Fax

(605) 328-5814

NPI assigned

Jul 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Family Practice

Education

University of Nebraska College of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pipestone County Medical CenterGroup PAC ID 0840109682, shared by 6 NPIs, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pipestone County Medical Center Hospital, Pipestone, MN, CCN 241374

Merit-based Incentive Payment System (MIPS)

Final score

84.78 of 100Reported as group

Quality

78.77

Promoting interoperability

100

Improvement activities

40

Cost

70.49

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: glenn.ridder@avera.sdhealthlink.net
• Direct secure messaging: gridder10702@direct.sanfordhealth.org

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.

• Pipestone County Medical Center

  • Critical Access Hospital
  • Pipestone, MN
  • NPI 1447300587
  Medicare reassignment NPD
• Pipestone County Medical Center

  • Critical Access Hospital
  • Pipestone, MN
  • NPI 1598751240
  Medicare reassignment NPD
• Pipestone County Medical Center

  • Family Medicine Physician
  • Pipestone, MN
  • NPI 1073576906
  NPD

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

• Pipestone County Medical Center

  • Critical Access Hospital
  • Pipestone, MN
  • NPI 1598751240
  Care Compare affiliation

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1003816885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-328-9556",
            "fax_number": "605-328-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 S MINNESOTA AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082549",
            "telephone_number": "605-328-5800",
            "fax_number": "605-328-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDER",
        "first_name": "GLENN",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "3483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5609275",
            "state": "SD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gridder10702@direct.sanfordhealth.org",
            "affiliation": "N",
            "address_1": "6110 S Minnesota Ave",
            "city": "Sioux Falls",
            "state": "SD",
            "country_code": "US",
            "postal_code": "571082549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Justin Richter
• Brianna Rick, M.D.
• Jacob Thomas Ricke, DO
• Lexis Marie Ricke, PA-C
• Andrew John Ridder, M.D.
• Rodney E Ridenour, PAC
• Blake Michael Ridgway, D.D.S.
• Tim M Ridgway, M.D.
• Kayler Ridl, LPC
• Brian Abram Rieb, MD

• Family Medicine Physician in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Family Medicine Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.