Active NPI
Meredith B Powell, M.D.
- Psychiatry Physician
- Sioux Falls, SD
National Provider Identifier
1154582765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 8845
- Practice address
- 4400 W. 69TH St.
Suite 1500
Sioux Falls, SD 57108-8171 - Phone
- (605) 322-5700
- Fax
- (605) 322-5704
- NPI assigned
- Jun 17, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 8845 | SD | Primary |
| Psychiatry Physician | 2084P0800X | 51352 | MN |
Addresses
Primary practice location
4400 W. 69TH St.
Suite 1500
Sioux Falls, SD 57108-8171
Mailing address
2400 S. Minnesota Ave.
Suite 100
Sioux Falls, SD 57105-3762
Phone (605) 322-7510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7102080 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130830000706 | SD | Practitioner - Psychiatry | 9931378973 |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Sanford School of Medicine of University of South Dakota, 2006
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4400 W 69TH St
Suite 1500
Sioux Falls, SD 57108-8171
Hospital & facility affiliations
- Avera McKennan Hospital & University Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51352 | MN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Psychiatry | Current | Accepting new patients |
| Avera McKennan | Current | Accepting new patients |
Locations
4400 W 69th St
Ste 1500
Sioux Falls, SD 57108
Phone (605) 322-5700
Interoperability endpoints
- meredith.powell@avera.sdhealthlink.net
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Sioux Falls, SD
- NPI 1013980598
-
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
Hospital & facility affiliations 23
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1154531630
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1184834764
-
- 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": "1213660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386288000000",
"number": "1154582765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 S. MINNESOTA AVE.",
"address_2": "SUITE 100",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571053762",
"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": "4400 W. 69TH ST.",
"address_2": "SUITE 1500",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571088171",
"telephone_number": "605-322-5700",
"fax_number": "605-322-5704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "MEREDITH",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-17",
"last_updated": "2013-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SD",
"license": "8845",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "51352",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7102080",
"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 Dec 6, 2013; 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.