NPIMap

Individual provider Active NPI

Kayla Jean Riswold

  • Dermatology Physician
  • Sioux Falls, SD
National Provider Identifier
1083277834
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
15256 Issued in SD
Practice address
6701 S Minnesota Ave
Sioux Falls, SD 57108-2591
Phone
(605) 322-6960
Fax
(605) 504-5711
NPI assigned
Apr 17, 2019
Last updated
Sep 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Dermatology Physician 207N00000X 15256 SD Primary
Dermatopathology (Pathology) Physician 207ZD0900X 15256 SD

Addresses

Primary practice location

6701 S Minnesota Ave
Sioux Falls, SD 57108-2591

Mailing address

1600 S Highline Ave Ste 120
Sioux Falls, SD 57110-1008
Phone (605) 322-6960

Other practice location 1

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

Other practice location 2

1325 S Cliff Ave
Sioux Falls, SD 57105-1007
Phone (605) 322-7200

Other names 1

  • Kayla Jean Pochop Former name

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
I20240708000934 SD Practitioner - Dermatology 2264769389 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Sanford School of Medicine of University of South Dakota, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Laboratory LTDGroup PAC ID 9234036310, 14 clinicians
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

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

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

1600 S Highline Ave
Sioux Falls, SD 57110-1008

1600 S Highline Ave
Suite 310
Sioux Falls, SD 57110-1007
Phone (605) 322-7600

6701 S Minnesota Ave
Sioux Falls, SD 57108-2591
Phone (605) 322-6960

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions71
Removal or shaving of skin growth1-10
Skin biopsy83

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Aug 1, 2024 Accepting new patients
Avera McKennan Dermatology CurrentSince Aug 1, 2024 Accepting new patients
Avera McKennan Current Accepting new patients
Physicians Laboratory, LTD. CurrentSince Aug 1, 2024 Accepting new patients
Physicians Laboratory, LTD. CurrentSince Aug 1, 2024 Accepting new patients

Locations

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

1325 S Cliff Ave
Sioux Falls, SD 57105
Phone (605) 322-5000

1600 S Highline Ave
Ste 120
Sioux Falls, SD 57110
Phone (605) 504-5690

6701 S Minnesota Ave
Sioux Falls, SD 57108
Phone (605) 322-6960

Interoperability endpoints

  • Direct secure messaging: kayl.riswold@avera.sdhealthlink.net
  • Direct secure messaging: kayla.riswold@avera.sdhealthlink.net

Organizations & group practices 5

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 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1083277834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S HIGHLINE AVE STE 120",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571101008",
            "telephone_number": "605-322-6960",
            "fax_number": "605-504-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 S MINNESOTA AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082591",
            "telephone_number": "605-322-6960",
            "fax_number": "605-504-5711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 S Cliff Ave Ste 700",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571051019",
            "country_code": "US",
            "telephone_number": "605-322-7200",
            "fax_number": "605-322-7222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1325 S Cliff Ave",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571051007",
            "country_code": "US",
            "telephone_number": "605-322-7200",
            "fax_number": "605-322-7222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RISWOLD",
        "first_name": "KAYLA",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SD",
            "license": "15256",
            "primary": true
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "SD",
            "license": "15256",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "POCHOP",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.