Individual provider Active NPI

Michael Herman, MS, CCP

  • Perfusionist
  • Sioux Falls, SD
National Provider Identifier
1033705595
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PerfusionistTaxonomy code 242T00000X
License
1000-00596 Issued in NC
Practice address
1316 W Wicklow CT
Sioux Falls, SD 57108-3252
Phone
(605) 280-1377
NPI assigned
Dec 17, 2020
Last updated
Feb 23, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Perfusionist 242T00000X 1000-00596 NC Primary

Addresses

Primary practice location

1316 W Wicklow CT
Sioux Falls, SD 57108-3252

Mailing address

1316 W Wicklow CT
Sioux Falls, SD 57108-3252
Phone (605) 280-1377

Other identifiers 1

IdentifierTypeStateIssuer
2MI00034000OtherNJNJ LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mherman@perfusionusa.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1000-00596NCMDPerfusionist

Practice roles

OrganizationSpecialtyStatusNew patients
Perfusion USA, LLC Perfusionist CurrentSince Feb 27, 2022 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1033705595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 W WICKLOW CT",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571083252",
            "telephone_number": "605-280-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 W WICKLOW CT",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571083252",
            "telephone_number": "605-280-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MS, CCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-17",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "242T00000X",
            "taxonomy_group": "",
            "desc": "Perfusionist",
            "state": "NC",
            "license": "1000-00596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSE",
            "identifier": "2MI00034000",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mherman@perfusionusa.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1316 W Wicklow Ct",
            "city": "Sioux Falls",
            "state": "SD",
            "country_code": "US",
            "postal_code": "571083252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.