NPIMap

Individual provider Active NPI

Heath D Reinke, PAC

  • Physician Assistant
  • Sioux Falls, SD
National Provider Identifier
1104171131
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0824 Issued in SD
Practice address
810 E 23Rd St
Sioux Falls, SD 57105-2135
Phone
(605) 331-5890
Fax
(605) 336-3974
NPI assigned
Jul 16, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0824 SD Primary

Addresses

Primary practice location

810 E 23Rd St
Sioux Falls, SD 57105-2135

Mailing address

PO Box 5116
Sioux Falls, SD 57117-5116
Phone (605) 331-5890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, IA2 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
I20120831000570 SD Practitioner - Physician Assistant 9739336439 Reassigns benefits to 1 organization
I20130325000213 IA Practitioner - Physician Assistant 9739336439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, shared by 52 NPIs, 957 clinicians

Practice addresses (Care Compare)

1101 9TH St SE
Sioux Center, IA 51250-2501
Phone (605) 504-1100

1200 1St Ave E
Spencer, IA 51301-4342

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

4400 W 69TH St
Suite 500
Sioux Falls, SD 57108-8171
Phone (605) 322-7580

600 9TH Ave N
Sibley, IA 51249-1012
Phone (712) 754-2900

6100 S Louise Ave
Sioux Falls, SD 57108-6029

901 E Virgil Ave
Milbank, SD 57252-2124
Phone (605) 432-4538

Hospital & facility affiliations

  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016
  • Sioux Center Health Hospital, Sioux Center, IA, CCN 161346
  • Lakes Regional Healthcare Hospital, Spirit Lake, IA, CCN 160124
  • Avera Merrill Pioneer Hospital Hospital, Rock Rapids, IA, CCN 161321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0824SDMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Apr 11, 2020 Accepting new patients
Avera McKennan CurrentSince Aug 26, 2019 Accepting new patients
Avera McKennan CurrentSince Aug 26, 2019 Accepting new patients
Avera McKennan Physician Assistant Past Accepting new patients

Locations

1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164

6100 S Louise Ave
Ste 1500
Sioux Falls, SD 57108
Phone (605) 504-1100

810 E 23rd St
Sioux Falls, SD 57105
Phone (605) 339-6823

6100 S Louise Ave
Ste 2100
Sioux Falls, SD 57108
Phone (605) 504-1100

Interoperability endpoints

  • Direct secure messaging: heath.reinke@avera.sdhealthlink.net

Organizations & group practices 6

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 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342396800000",
    "number": "1104171131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5116",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175116",
            "telephone_number": "605-331-5890",
            "fax_number": "605-336-3974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E 23RD ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052135",
            "telephone_number": "605-331-5890",
            "fax_number": "605-336-3974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINKE",
        "first_name": "HEATH",
        "middle_name": "D",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.