Active NPI
Kevin J Folchert, MD
- Family Medicine Physician
- South Sioux City, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20197
- Practice address
- 3250 Plaza Dr
South Sioux City, NE 68776-3144 - Phone
- (402) 412-4220
- Fax
- (402) 494-1365
- NPI assigned
- Feb 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20197 | NE | Primary |
Addresses
Primary practice location
3250 Plaza Dr
South Sioux City, NE 68776-3144
Mailing address
814 Pierce St
Suite 102
Sioux City, IA 51101-1058
Phone (712) 226-2600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1928259 | Medicaid | IA | |
| 10025302400 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Sanford School of Medicine of University of South Dakota, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2720 Stone Park Blvd
Sioux City, IA 51104-3734
Phone (712) 279-3500
Hospital & facility affiliations
- St Lukes Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.74 of 100
- Quality
- 76.47
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 71.84
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20197 | NE | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Northwest Iowa Hospital Corporation | Current | Accepting new patients | |
| St Lukes Health Resources | Family Medicine | Past | Accepting new patients |
| Family Health Care of Siouxland LLC | Family Medicine | Past | Accepting new patients |
Locations
2730 Pierce St
Ste 205
Sioux City, IA 51104
Phone (712) 279-3383
2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000
Interoperability endpoints
- kfolchert128204@direct.unitypoint.org
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Sioux City, IA
- NPI 1215962550
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Family Medicine Physician
- Moville, IA
- NPI 1720278278
-
- Family Medicine Physician
- Sioux City, IA
- NPI 1528001492
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sioux City, IA
- NPI 1962594622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299542400000",
"number": "1124093695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 PIERCE ST",
"address_2": "SUITE 102",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511011058",
"telephone_number": "712-226-2600",
"fax_number": "712-226-2605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 PLAZA DR",
"city": "SOUTH SIOUX CITY",
"state": "NE",
"postal_code": "687763144",
"telephone_number": "402-412-4220",
"fax_number": "402-494-1365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOLCHERT",
"first_name": "KEVIN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-20",
"last_updated": "2011-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "20197",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1928259",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025302400",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Sioux City, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.