NPIMap

Individual provider Active NPI

William R Rossing, MD

  • Neurology Physician
  • Sioux Falls, SD
National Provider Identifier
1083621395
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
3827 Issued in SD
Practice address
1301 S Cliff Ave
Suite 506
Sioux Falls, SD 57105-1053
Phone
(605) 335-0844
Fax
(605) 977-1715
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 3827 SD Primary

Addresses

Primary practice location

1301 S Cliff Ave
Suite 506
Sioux Falls, SD 57105-1053

Mailing address

1301 S Cliff Ave
Suite 506
Sioux Falls, SD 57105-1053
Phone (605) 335-0844

Other identifiers 7

IdentifierTypeStateIssuer
0003526OtherSDBCBS
0003526OtherIABCBS
130010599OtherRAILROAD MEDICARE
465318100MedicaidMN
6100100MedicaidSD
0958397MedicaidIA
7K533ROOtherMNBCBS

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
I20100817001352 SD Practitioner - Neurology 0648260240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Sanford School of Medicine of University of South Dakota, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1301 S Cliff Ave
Sioux Falls, SD 57105-1023

1301 S Cliff Ave
Suite 610
Sioux Falls, SD 57105-1032
Phone (605) 322-8860

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

4500 W 69TH St
Sioux Falls, SD 57108-8148
Phone (605) 322-9777

4520 W 69TH St
Sioux Falls, SD 57108-8148
Phone (605) 977-5000

6100 S Louise Ave
Sioux Falls, SD 57108-6029

Hospital & facility affiliations

  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016
  • Avera Heart Hospital of South Dakota Hospital, Sioux Falls, SD, CCN 430095

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan Current Accepting new patients
Avera McKennan CurrentSince Jul 1, 2010 Accepting new patients
Avera McKennan CurrentSince Jun 13, 2016 Accepting new patients

Locations

1301 S Cliff Ave
Ste 610
Sioux Falls, SD 57105
Phone (605) 322-8860

1301 S Cliff Ave
Ste 506
Sioux Falls, SD 57105
Phone (605) 335-0844

Interoperability endpoints

  • Direct secure messaging: william.rossing@avera.sdhealthlink.net

Ownership & related parties

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Freeman Regional Health ServicesMenno, SD, CCN 433444 Rural health clinic Corporate Director May 1, 2011
Freeman Regional Health ServicesBridgewater, SD, CCN 433443 Rural health clinic Corporate Director May 10, 2011
Freeman Regional Health ServicesMarion, SD, CCN 433445 Rural health clinic Corporate Director May 1, 2011

Owned or controlled facilities with NPI records 3

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

Organizations & group practices 3

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.

Hospital & facility affiliations 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302134400000",
    "number": "1083621395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S CLIFF AVE",
            "address_2": "SUITE 506",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051053",
            "telephone_number": "605-335-0844",
            "fax_number": "605-977-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S CLIFF AVE",
            "address_2": "SUITE 506",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051053",
            "telephone_number": "605-335-0844",
            "fax_number": "605-977-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSING",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2011-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SD",
            "license": "3827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0003526",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0003526",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "130010599",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "465318100",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6100100",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0958397",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "7K533RO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.