NPIMap

Individual provider Active NPI

Adam Hailes Nichols, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Sioux Falls, SD
National Provider Identifier
1063856136
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
225 Issued in SD
Practice address
1210 W 18TH St
Suite G01
Sioux Falls, SD 57104-4647
Phone
(605) 328-2663
Fax
(605) 328-3760
NPI assigned
Apr 19, 2013
Last updated
Jan 5, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 2055 TX
Foot & Ankle Surgery Podiatrist 213ES0103X 225 SD Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 922 MN

Addresses

Primary practice location

1210 W 18TH St
Suite G01
Sioux Falls, SD 57104-4647

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-2663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, MN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141230000651 SD Practitioner - Podiatry 3870816788 Reassigns benefits to 2 organizations
I20150509000112 MN Practitioner - Podiatry 3870816788 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical CenterGroup PAC ID 8325950215, 847 clinicians
Sanford ClinicGroup PAC ID 0244143824, 268 clinicians

Practice addresses (Care Compare)

1210 W 18TH St
Suite G01
Sioux Falls, SD 57104-4651
Phone (605) 328-2663

1301 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-2200

1305 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-7300

1430 N Hwy
Jackson, MN 56143-1093
Phone (507) 847-2200

2042 Juniper Ave
Slayton, MN 56172-1017
Phone (507) 836-1227

2150 Hospital Dr
Windom, MN 56101-1287
Phone (605) 328-2663

2170 Hospital Dr
Windom, MN 56101-1287
Phone (507) 831-1422

251 5TH St E
Tracy, MN 56175-1536
Phone (507) 629-3200

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
75.87
Promoting interoperability
100
Improvement activities
40
Cost
68.53

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
87.49
Promoting interoperability
100
Improvement activities
40
Cost
44.99

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue131
Removal of skin lesions17
Removal of nail tissue421
Removal or shaving of skin growth333
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
922MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Clinic CurrentSince Nov 24, 2014 Accepting new patients
Sanford Health Network CurrentSince Jun 1, 2015 Accepting new patients
Sanford Clinic CurrentSince Nov 24, 2014 Accepting new patients
Sanford Health Network Current Accepting new patients
Sanford Medical Center CurrentSince Nov 24, 2014 Accepting new patients
Sanford Health Network Current Accepting new patients
Windom Area Hospital CurrentSince Dec 15, 2020 Accepting new patients
Sanford Health Network Current Accepting new patients
Sanford Medical Center CurrentSince Nov 24, 2014 Accepting new patients
Sanford Clinic Current Accepting new patients
Sanford Clinic CurrentSince Mar 13, 2015 Accepting new patients
Windom Area Hospital CurrentSince Dec 15, 2020 Accepting new patients
Sanford Clinic Current Accepting new patients
Sanford Health Network CurrentSince Jun 1, 2015 Accepting new patients
Sanford Clinic Past Accepting new patients

Locations

1430 North Hwy
Jackson, MN 56143
Phone (507) 847-2200

1600 N Kniss Ave
Luverne, MN 56156
Phone (507) 283-2321

1601 Sioux Valley Dr
Luverne, MN 56156
Phone (507) 283-4476

450 Eastvold Ave
Ortonville, MN 56278
Phone (320) 839-2502

2042 Juniper Ave
Slayton, MN 56172
Phone (507) 836-1227

249 5th St E
Tracy, MN 56175
Phone (507) 629-3520

920 Bell Ave
Westbrook, MN 56183
Phone (507) 274-1150

2150 Hospital Dr
Windom, MN 56101
Phone (507) 831-0618

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

2701 S Kiwanis Ave
Sioux Falls, SD 57105
Phone (605) 328-0020

1210 W 18th St
Ste G01
Sioux Falls, SD 57104
Phone (605) 328-1395

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

20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611

111 Washington Ave NW
Wagner, SD 57380
Phone (605) 384-3621

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 9

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": "1366329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1063856136",
    "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": "605-328-2663",
            "fax_number": "605-328-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 W 18TH ST",
            "address_2": "SUITE G01",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571044647",
            "telephone_number": "605-328-2663",
            "fax_number": "605-328-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "ADAM",
        "middle_name": "HAILES",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-19",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2055",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SD",
            "license": "225",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MN",
            "license": "922",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.