Individual provider Active NPI

Brenda Kay Kallemeyn, MD

  • Obstetrics & Gynecology Physician
  • Sioux Falls, SD
National Provider Identifier
1144237280
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5876 Issued in SD
Practice address
1417 S. Cliff Ave
Ste 200
Sioux Falls, SD 57105-1009
Phone
(605) 322-6675
Fax
(605) 322-6677
NPI assigned
Aug 2, 2006
Last updated
Oct 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5876 SD Primary

Addresses

Primary practice location

1417 S. Cliff Ave
Ste 200
Sioux Falls, SD 57105-1009

Mailing address

PO Box 86370
Sioux Falls, SD 57118-6370
Phone (605) 322-7510

Other identifiers 1

IdentifierTypeStateIssuer
6201452MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060825000431 SD Practitioner - Obstetrics/Gynecology 5193729598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Sanford School of Medicine of University of South Dakota, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1001 E 21St St
Suite 401
Sioux Falls, SD 57105-1017
Phone (605) 322-8920

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5876SDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan Obstetrics & Gynecology CurrentSince Sep 1, 2006 Accepting new patients
Avera McKennan CurrentSince Sep 1, 2006 Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan Past Accepting new patients
Avera McKennan Past Accepting new patients

Locations

1200 S 7th Ave
Sioux Falls, SD 57105
Phone (605) 336-2140

1417 S Cliff Ave
Ste 200
Sioux Falls, SD 57105
Phone (605) 322-4130

1417 S Cliff Ave
Ste 401
Sioux Falls, SD 57105
Phone (605) 322-8920

Interoperability endpoints

  • Direct secure messaging: brenda.kallemeyn@avera.sdhealthlink.net

Ownership & related parties

All facility ownership & control disclosures 12

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Avera McKennan Behavioral Health ServicesSioux Falls, SD, CCN 43S016 Hospital Corporate Director Jul 1, 2023
Avera McKennan Hospital and University Health CenterSioux Falls, SD, CCN 43T016 Hospital Corporate Director Jul 1, 2023
Avera Merrill Pioneer HospitalRock Rapids, IA, CCN 16Z321 Hospital Corporate Director Jul 1, 2023
Avera Prince of PeaceSioux Falls, SD, CCN 435066 Skilled nursing facility Managing Control - Governing Body Jul 1, 2023
Avera Medical Group RevilloRevillo, SD, CCN 433413 Rural health clinic Corporate Director Jul 1, 2023
Avera Medical Group FlandreauFlandreau, SD, CCN 433429 Rural health clinic Corporate Director Jul 1, 2023
Avera Medical Group MilbankMilbank, SD, CCN 433435 Rural health clinic Corporate Director Jul 1, 2023
Avera Medical Group ButteButte, NE, CCN 283814 Rural health clinic Corporate Director Jul 1, 2023
Avera Medical Group WaubayWaubay, SD, CCN 433886 Rural health clinic Corporate Director Jul 1, 2023
Avera Medical Group WinnerWinner, SD, CCN 433447 Rural health clinic Corporate Director Jul 1, 2023
Avera Medical Group Rock RapidsRock Rapids, IA, CCN 168507 Rural health clinic Corporate Director Jul 1, 2023
Avera Medical Group GeorgeGeorge, IA, CCN 168561 Rural health clinic Corporate Director Jul 1, 2023

Owned or controlled facilities with NPI records 13

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 13

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1144237280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86370",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571186370",
            "telephone_number": "605-322-7510",
            "fax_number": "605-322-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 S. CLIFF AVE",
            "address_2": "STE 200",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051009",
            "telephone_number": "605-322-6675",
            "fax_number": "605-322-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLEMEYN",
        "first_name": "BRENDA",
        "middle_name": "KAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SD",
            "license": "5876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6201452",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.