Active NPI
Brenda Kay Kallemeyn, MD
- Obstetrics & Gynecology Physician
- Sioux Falls, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 5876
- 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, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6201452 | Medicaid | SD |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5876 | SD | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Obstetrics & Gynecology | Current | Accepting new patients |
| Avera McKennan | Current | 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
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Avera McKennan Behavioral Health Services | Hospital | Corporate Director | Jul 1, 2023 |
| Avera McKennan Hospital and University Health Center | Hospital | Corporate Director | Jul 1, 2023 |
| Avera Merrill Pioneer Hospital | Hospital | Corporate Director | Jul 1, 2023 |
| Avera Prince of Peace | Skilled nursing facility | Managing Control - Governing Body | Jul 1, 2023 |
| Avera Medical Group Revillo | Rural health clinic | Corporate Director | Jul 1, 2023 |
| Avera Medical Group Flandreau | Rural health clinic | Corporate Director | Jul 1, 2023 |
| Avera Medical Group Milbank | Rural health clinic | Corporate Director | Jul 1, 2023 |
| Avera Medical Group Butte | Rural health clinic | Corporate Director | Jul 1, 2023 |
| Avera Medical Group Waubay | Rural health clinic | Corporate Director | Jul 1, 2023 |
| Avera Medical Group Winner | Rural health clinic | Corporate Director | Jul 1, 2023 |
| Avera Medical Group Rock Rapids | Rural health clinic | Corporate Director | Jul 1, 2023 |
| Avera Medical Group George | 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.
-
dba Avera McKennan Hospital and University Health Center - Rehab Unit
- Rehabilitation Hospital Unit
- Sioux Falls, SD
- NPI 1215951629
Corporate Director
-
dba Avera Medical Group Waubay
- Rural Health Clinic/Center
- Waubay, SD
- NPI 1427003946
Corporate Director
-
dba Avera Prince of Peace
- Skilled Nursing Facility
- Sioux Falls, SD
- NPI 1508854340
Managing Control - Governing Body
-
dba Avera McKennan Hospital and University Health Center
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1568460772
Corporate Director
-
dba Avera Medical Group Revillo
- Rural Health Clinic/Center
- Revillo, SD
- NPI 1588677892
Corporate Director
-
dba Avera Medical Group Flandreau
- Rural Health Clinic/Center
- Flandreau, SD
- NPI 1619948007
Corporate Director
-
dba Avera Medical Group Milbank
- Rural Health Clinic/Center
- Milbank, SD
- NPI 1750488730
Corporate Director
-
dba Avera Medical Group Winner
- Rural Health Clinic/Center
- Winner, SD
- NPI 1912959495
Corporate Director
-
dba Avera Medical Group Rock Rapids
- Rural Health Clinic/Center
- Rock Rapids, IA
- NPI 1003389206
Corporate Director
-
dba Avera Merrill Pioneer Hospital Swingbed
- Medicare Defined Swing Bed Hospital Unit
- Rock Rapids, IA
- NPI 1093288292
Corporate Director
-
dba Avera Medical Group Butte
- Rural Health Clinic/Center
- Butte, NE
- NPI 1568492551
Corporate Director
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.
-
dba Avera McKennan Behavioral Health Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
-
dba Avera Medical Group Urogynecology Sioux Falls
- Obstetrics & Gynecology Physician
- Sioux Falls, SD
- NPI 1003188269
-
dba Avera Interventional Radiology
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
-
dba Avera McKennan Hospital and University Health Center
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1568460772
-
- Plastic and Reconstructive Surgery Physician
- Sioux Falls, SD
- NPI 1568829968
Hospital & facility affiliations 23
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Avera Medical Group Urogynecology Sioux Falls
- Obstetrics & Gynecology Physician
- Sioux Falls, SD
- NPI 1003188269
Hospital
-
dba Avera Medical Group Rheumatology Sioux Falls
- Rheumatology Physician
- Sioux Falls, SD
- NPI 1013177393
Hospital
-
dba Avera Medical Group University Psychiatry Associates Sioux Falls
- Psychiatry Physician
- Sioux Falls, SD
- NPI 1013980598
Hospital
-
dba Avera Medical Group Orthopedics and Sports Medicine
- Orthopaedic Surgery Physician
- Sioux Falls, SD
- NPI 1093262131
Hospital
-
dba Avera Medical Group Brain and Spine Institute
- Neurological Surgery Physician
- Sioux Falls, SD
- NPI 1114113693
Hospital
-
dba Avera Medical Group Physical Medicine and Rehabilitation Sioux Falls
- Physical Medicine & Rehabilitation Physician
- Sioux Falls, SD
- NPI 1134195332
Hospital
-
dba Avera McKennan Hospital and University Health Center - Diabetic Ed
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1154531630
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1184834764
-
dba Avera Gastroenterology Sioux Falls
- Gastroenterology Physician
- Sioux Falls, SD
- NPI 1194799882
Hospital
-
dba Avera Medical Group Womens Health Specialists Sioux Falls
- Obstetrics & Gynecology Physician
- Sioux Falls, SD
- NPI 1336111962
Hospital
-
dba Avera Medical Group
- Family Medicine Physician
- Sioux Falls, SD
- NPI 1376575514
Hospital
-
dba Avera Endocrinology and Diabetes
- Endocrinology, Diabetes & Metabolism Physician
- Sioux Falls, SD
- NPI 1396711016
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.