NPIMap

Individual provider Active NPI

Richard D Strom, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Yankton, SD
National Provider Identifier
1053495598
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
7611 Issued in SD
Practice address
501 Summit St
Yankton, SD 57078-3855
Phone
(605) 655-1165
Fax
(605) 668-6168
NPI assigned
Oct 24, 2006
Last updated
Aug 25, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 9803 MT
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 7611 SD Primary

Addresses

Primary practice location

501 Summit St
Yankton, SD 57078-3855

Mailing address

501 Summit St
Yankton, SD 57078-3855
Phone (605) 655-1165

Other identifiers 1

IdentifierTypeStateIssuer
0039848MedicaidMT

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
I20091112000376 SD Practitioner - Pathology 1254411549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Sanford School of Medicine of University of South Dakota, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Laboratory LTDGroup PAC ID 9234036310, 14 clinicians

Practice addresses (Care Compare)

1301 S Cliff Ave
Suite 700
Sioux Falls, SD 57105-1019
Phone (605) 322-7200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9803MTMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Laboratory, LTD. Anatomic Pathology & Clinical Pathology CurrentSince Sep 16, 2009 Accepting new patients
Physicians Laboratory, LTD. Anatomic Pathology & Clinical Pathology CurrentSince Sep 16, 2009 Accepting new patients
Sacred Heart Health Services PastSince Jul 1, 2017 Accepting new patients
Northern Plains Pathologists, PC Anatomic Pathology & Clinical Pathology PastSince Oct 1, 2007 Accepting new patients

Locations

1301 S Cliff Ave
Ste 700
Sioux Falls, SD 57105
Phone (605) 322-7200

501 Summit St
Yankton, SD 57078
Phone (605) 655-1201

Ownership & related parties

All facility ownership & control disclosures 10

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Avera Sacred Heart HospitalYankton, SD, CCN 43U012 Hospital Corporate Director Jul 1, 2017
Avera Sacred Heart HospitalYankton, SD, CCN 430012 Hospital Corporate Director Jul 1, 2017
Avera Creighton HospitalCreighton, NE, CCN 281331 Hospital Corporate Director Jul 1, 2017
Avera Creighton HospitalCreighton, NE, CCN 28Z331 Hospital Corporate Director Jul 1, 2017
Avera Sister James Care CenterYankton, SD, CCN 435070 Skilled nursing facility Corporate Director Jul 1, 2017
Avera Creighton Care CentreCreighton, NE, CCN 285284 Skilled nursing facility Corporate Director Jul 1, 2017
Avera Hartington ClinicHartington, NE, CCN 283428 Rural health clinic Corporate Director Jul 1, 2017
Avera Crofton ClinicCrofton, NE, CCN 283427 Rural health clinic Corporate Director Jul 1, 2017
Avera Medical Group VerdigreVerdigre, NE, CCN 283466 Rural health clinic Corporate Director Jul 1, 2017
Avera Medical Group PiercePierce, NE, CCN 288509 Rural health clinic Corporate Director Jul 1, 2017

Owned or controlled facilities with NPI records 16

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 16

Organizations & group practices 4

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.

Hospital & facility affiliations 12

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1053495598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SUMMIT ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570783855",
            "telephone_number": "605-655-1165",
            "fax_number": "605-668-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SUMMIT ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570783855",
            "telephone_number": "605-655-1165",
            "fax_number": "605-668-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROM",
        "first_name": "RICHARD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MT",
            "license": "9803",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "SD",
            "license": "7611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0039848",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yankton, SD

Sources for this page

Verify at the official NPI Registry.