Timothy James Dillard, MD
Individual provider Active NPI Hospitalist Physician · Sioux Falls, SD
NPI 1154680429 · NPPES record last updated Jun 12, 2018
Key facts
- NPI
- 1154680429
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 9587 (SD)
- Practice address
- 1305 W 18TH St
Sioux Falls, SD 57105 - Phone
- (605) 328-4973
- Fax
- (605) 328-1295
- NPI assigned
- May 8, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150901002708 | SD | Practitioner - Hospitalist |
7719116664 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Clinic | Current | Accepting new patients | |
| Sanford Clinic | Current |
Accepting new patients | |
| Sanford Clinic | Current |
Accepting new patients |
Locations
525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000
1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9587 | SD | |
| Hospitalist Physician | 208M00000X | 9587 | SD | Yes |
Addresses
Primary practice location
1305 W 18TH St
Sioux Falls, SD 57105
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other providers in Sioux Falls, SD
- Steven George Dietrich
- Daniel Digatono
- Michael Digatono
- Dignity Medical Devices
- Anne M Dilenschneider
- Tracy Dillinger
- Craig M Dillon
- Victoria Dilts
- Elizabeth Dimitrievich
- Savannah Leigh Dinger
All providers in Sioux Falls, SD · Hospitalist Physician in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.