NPIMap

Individual provider Active NPI

Ruth Ranum Moen, DPM

  • Foot & Ankle Surgery Podiatrist
  • Sioux Falls, SD
National Provider Identifier
1124437595
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
240 Issued in SD
Practice address
6100 S Louise Ave Ste 2100
Sioux Falls, SD 57108-6029
Phone
(605) 504-1100
NPI assigned
Aug 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X 240 SD Primary

Addresses

Primary practice location

6100 S Louise Ave Ste 2100
Sioux Falls, SD 57108-6029

Mailing address

6100 S Louise Ave Ste 2100
Sioux Falls, SD 57108-6029
Phone (605) 504-1100

Other names 1

  • Ruth Soren Ranum Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, 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
I20191114000928 OR Practitioner - Podiatry 9032425020 Reassigns benefits to 1 organization
I20201022002444 SD Practitioner - Podiatry 9032425020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

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
  • Lakes Regional Healthcare Hospital, Spirit Lake, IA, CCN 160124
  • Hegg Memorial Health Center Hospital, Rock Valley, IA, CCN 161336

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue42
Removal or shaving of skin growth32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Sep 9, 2019 Accepting new patients
Avera McKennan CurrentSince Nov 1, 2020 Accepting new patients
Avera McKennan CurrentSince Nov 1, 2020 Accepting new patients
Avera McKennan Current Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Sep 9, 2019 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Sep 9, 2019 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Current Accepting new patients
Avera McKennan Past Accepting new patients
Avera McKennan Past Accepting new patients

Locations

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051

500 NE Multnomah St
Portland, OR 97232
Phone (503) 813-4939

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

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

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

Organizations & group practices 9

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": "1407628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1124437595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 S LOUISE AVE STE 2100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571086029",
            "telephone_number": "605-504-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 S LOUISE AVE STE 2100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571086029",
            "telephone_number": "605-504-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOEN",
        "first_name": "RUTH",
        "middle_name": "RANUM",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-10",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SD",
            "license": "240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTH",
            "last_name": "RANUM",
            "middle_name": "SOREN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.