Individual provider Active NPI

Derek J Ferrie, MD

  • Internal Medicine Physician
  • Mitchell, SD
National Provider Identifier
1013962919
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4729 Issued in SD
Practice address
2100 Highland Way
Ste K
Mitchell, SD 57301-6409
Phone
(605) 996-0400
Fax
(605) 996-0401
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4729 SD Primary

Addresses

Primary practice location

2100 Highland Way
Ste K
Mitchell, SD 57301-6409

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other identifiers 2

IdentifierTypeStateIssuer
6003822MedicaidSD
0008100OtherSDBCBS

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
I20050412000284 SD Practitioner - Internal Medicine 5799767885 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Sanford School of Medicine of University of South Dakota, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical CenterGroup PAC ID 8325950215, 847 clinicians

Practice addresses (Care Compare)

2100 Highland Way
Suite K
Mitchell, SD 57301-6409
Phone (605) 996-0400

4405 E 26TH St
Sioux Falls, SD 57103-4187
Phone (605) 332-2883

Hospital & facility affiliations

  • Avera @ Home Home health agency, Mitchell, SD, CCN 437041
  • Avera Queen of Peace Hospital, Mitchell, SD, CCN 431340
  • Sanford Usd Medical Center Hospital, Sioux Falls, SD, CCN 430027

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4729SDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Clinic CurrentSince Dec 1, 2011 Accepting new patients
Sanford Clinic CurrentSince Dec 1, 2011 Accepting new patients
Sanford Clinic Current Accepting new patients
Sanford Medical Center Internal Medicine CurrentSince Aug 31, 2022 Accepting new patients
Mitchell Diagnostic Past Accepting new patients
Adult and Adolescent Internal Medicine Internal Medicine Past Accepting new patients
Sanford Clinic Past Accepting new patients

Locations

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

2100 Highland Way
Ste K
Mitchell, SD 57301
Phone (605) 996-0400

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

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

Organizations & group practices 7

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1013962919",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 HIGHLAND WAY",
            "address_2": "STE K",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573016409",
            "telephone_number": "605-996-0400",
            "fax_number": "605-996-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRIE",
        "first_name": "DEREK",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SD",
            "license": "4729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003822",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0008100",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchell, SD

Sources for this page

Verify at the official NPI Registry.