NPIMap

Individual provider Active NPI

Eldon R. Becker, MD

  • Surgery Physician
  • Pierre, SD
National Provider Identifier
1023083797
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2771 Issued in SD
Practice address
100 Mac Lane
Avera Medical Group Pierre
Pierre, SD 57501
Phone
(605) 945-5202
Fax
(605) 945-5094
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2771 SD Primary

Addresses

Primary practice location

100 Mac Lane
Avera Medical Group Pierre
Pierre, SD 57501

Mailing address

100 Mac Lane
Avera Medical Group Pierre
Pierre, SD 57501
Phone (605) 945-5202

Other identifiers 2

IdentifierTypeStateIssuer
7301093MedicaidSD
7301090MedicaidSD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050919001010 SD Practitioner - General Surgery 3779576434 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2771SDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera Gettysburg Current Accepting new patients
Avera McKennan CurrentSince Jan 1, 2009 Accepting new patients
Avera McKennan Current Accepting new patients
Avera Gettysburg CurrentSince Oct 1, 2019 Accepting new patients
Avera St Marys CurrentSince Oct 1, 2010 Accepting new patients
Avera McKennan CurrentSince Jan 1, 2009 Accepting new patients
Avera St Marys CurrentSince Oct 1, 2010 Accepting new patients
Pediatric Hematology Clinic LTD Past Accepting new patients
Pediatric Hematology Oncology Pharmacy LTC Past Accepting new patients

Locations

608 E Garfield Ave
Gettysburg, SD 57442
Phone (605) 765-2273

606 E Garfield Ave
Ste C
Gettysburg, SD 57442
Phone (605) 765-2273

100 Mac Ln
Pierre, SD 57501
Phone (605) 224-5901

6000 W 41st St
Ste 200
Sioux Falls, SD 57106
Phone (605) 322-1542

1000 E 23rd St
Ste 140
Sioux Falls, SD 57105
Phone (605) 322-3241

Interoperability endpoints

  • Direct secure messaging: eldon.becker@avera.sdhealthlink.net

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of North Dakota School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera St Marys 97 clinicians

Practice addresses (Care Compare)

801 E Sioux Ave
Pierre, SD 57501-3323
Phone (605) 224-5901

Hospital & facility affiliations

  • Avera St Mary'S Hospital Hospital, Pierre, SD, CCN 430015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy39
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux30

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1023083797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MAC LANE",
            "address_2": "AVERA MEDICAL GROUP PIERRE",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "57501",
            "telephone_number": "605-945-5202",
            "fax_number": "605-945-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAC LANE",
            "address_2": "AVERA MEDICAL GROUP PIERRE",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "57501",
            "telephone_number": "605-945-5202",
            "fax_number": "605-945-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "ELDON",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SD",
            "license": "2771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7301093",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7301090",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pierre, SD

Sources for this page

Verify at the official NPI Registry.