Organization Active NPI

Midwest Heart and Vascular Associates

  • Cardiovascular Disease Physician
  • Rapid City, SD
National Provider Identifier
1144027996
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MIDWEST HEART AND VASCULAR ASSOCIATES
Practice address
2805 5TH St Ste 200
Rapid City, SD 57701-7386
Phone
(605) 646-5715
NPI assigned
Feb 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Authorized official

Name
Dr. Bhaskar Purushottam, MDNPI 1982804969
Title
Owner
Phone
(605) 755-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

2805 5TH St Ste 200
Rapid City, SD 57701-7386

Mailing address

2805 5TH St Ste 200
Rapid City, SD 57701-7386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, NE, WY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20250415001637 SD Part B Supplier - Clinic/Group Practice 0143745919 Receives reassigned benefits from 3 practitioners
Practice locations: Rapid City, SD
O20251110000725 NE Part B Supplier - Clinic/Group Practice 0143745919 Receives reassigned benefits from 1 practitioner
Practice locations: Chadron, NE
O20260122000822 WY Part B Supplier - Clinic/Group Practice 0143745919 Receives reassigned benefits from 1 practitioner
Practice locations: Gillette, WY

National Provider Directory

National Provider Directory

Locations

2805 5th St
Ste 200
Rapid City, SD 57701
Phone (605) 343-6691

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1144027996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 5TH ST STE 200",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 5TH ST STE 200",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017386",
            "telephone_number": "605-646-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST HEART AND VASCULAR ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "PURUSHOTTAM",
        "authorized_official_first_name": "BHASKAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-755-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.