NPIMap

Individual provider Active NPI

Brian Joel Tjarks, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Sioux Falls, SD
National Provider Identifier
1093133258
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
11290 Issued in SD
Practice address
1301 S Cliff Ave Ste 700
Sioux Falls, SD 57105-1019
Phone
(605) 322-7200
Fax
(605) 322-7222
NPI assigned
Apr 3, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 11290 SD Primary

Addresses

Primary practice location

1301 S Cliff Ave Ste 700
Sioux Falls, SD 57105-1019

Mailing address

818 E Brian St
Apt 40
Tea, SD 57064-2462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, SD2 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
I20190521000270 IA Practitioner - Pathology 3678790292 Reassigns benefits to 1 organization
I20190606002562 SD Practitioner - PathologyPractitioner - Other (Physician) 3678790292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Sanford School of Medicine of University of South Dakota, 2014
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

  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016
  • Avera St Mary'S Hospital Hospital, Pierre, SD, CCN 430015
  • Avera Marshall Regional Medical Ctr Hospital, Marshall, MN, CCN 241359
  • Lakes Regional Healthcare Hospital, Spirit Lake, IA, CCN 160124
  • Sioux Center Health Hospital, Sioux Center, IA, CCN 161346

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0181SDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Laboratory of Northwest Iowa LTD Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2019 Accepting new patients
Physicians Laboratory, LTD. Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2019 Accepting new patients
Physicians Laboratory, LTD. Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2019 Accepting new patients
Physicians Laboratory of Northwest Iowa LTD Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2019 Accepting new patients

Locations

116 E 11th St
Ste 204
Spencer, IA 51301
Phone (712) 262-3795

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

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

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

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 and National Provider Directory roles.

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": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1093133258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 E BRIAN ST",
            "address_2": "APT 40",
            "city": "TEA",
            "state": "SD",
            "postal_code": "570642462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S CLIFF AVE STE 700",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051019",
            "telephone_number": "605-322-7200",
            "fax_number": "605-322-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TJARKS",
        "first_name": "BRIAN",
        "middle_name": "JOEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-03",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "SD",
            "license": "11290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.