NPIMap

Individual provider Active NPI

Deepali Shah, M.D.

  • Internal Medicine Physician
  • Watertown, SD
National Provider Identifier
1174011027
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13686 Issued in SD
Practice address
506 1St Ave SE
Watertown, SD 57201-4499
Phone
(605) 886-8482
Fax
(605) 884-4332
NPI assigned
Apr 26, 2018
Reactivated
Jan 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 13686 SD Primary

Addresses

Primary practice location

506 1St Ave SE
Watertown, SD 57201-4499

Mailing address

506 1St Ave SE
Watertown, SD 57201-4499
Phone (605) 886-8482

Other practice location 1

401 9th Ave NW
Watertown, SD 57201-1548
Phone (605) 882-7000

Other names 1

  • Deepali Batta Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221021000216 SD Practitioner - Internal Medicine 2668848375 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prairie Lakes Health Care System IncGroup PAC ID 8628987823, 111 clinicians

Practice addresses (Care Compare)

506 1St Ave SE
Watertown, SD 57201-4402
Phone (605) 886-8482

Hospital & facility affiliations

  • Prairie Lakes Home Health Home health agency, Watertown, SD, CCN 437019
  • Prairie Lakes Healthcare System, Inc Hospital, Watertown, SD, CCN 430005
  • Avantara Watertown Nursing home, Watertown, SD, CCN 435068

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13686SDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie Lakes Health Care System Inc CurrentSince Jan 1, 2025 Accepting new patients
Prairie Lakes Health Care System Inc CurrentSince Jan 1, 2025 Accepting new patients
Johnson Memorial Health Services CurrentSince Oct 10, 2022 Accepting new patients
Regional Diagnostic Radiology Current Accepting new patients
Brown Clinic PLLP Internal Medicine CurrentSince Oct 10, 2022 Accepting new patients
Prairie Lakes Health Care System Inc Past Accepting new patients
Prairie Lakes Health Care System Inc Internal Medicine Past Accepting new patients

Locations

401 9th Ave NW
Watertown, SD 57201
Phone (605) 886-9317

506 1st Ave SE
Watertown, SD 57201
Phone (605) 884-4247

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1174011027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 1ST AVE SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572014499",
            "telephone_number": "605-886-8482",
            "fax_number": "605-884-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 1ST AVE SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572014499",
            "telephone_number": "605-886-8482",
            "fax_number": "605-884-4332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 9th Ave NW",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "SD",
            "postal_code": "572011548",
            "country_code": "US",
            "telephone_number": "605-882-7000",
            "fax_number": "605-882-7607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DEEPALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "deactivation_date": "2018-11-29",
        "reactivation_date": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SD",
            "license": "13686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEEPALI",
            "last_name": "BATTA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Watertown, SD

Sources for this page

Verify at the official NPI Registry.