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Individual provider Active NPI

Todd A Espicha, PAC

  • Medical Physician Assistant
  • Sioux Falls, SD
National Provider Identifier
1174103188
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
1200 S 7TH Ave
Sioux Falls, SD 57105-0998
Phone
(605) 504-5400
Fax
(605) 504-5150
NPI assigned
Apr 13, 2021
Last updated
Feb 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

1200 S 7TH Ave
Sioux Falls, SD 57105-0998

Mailing address

1200 S 7TH Ave
Sioux Falls, SD 57105-0998
Phone (605) 504-5400

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
I20210423001688 SD Practitioner - Physician Assistant 9931119294 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1200 S 7TH Ave
Sioux Falls, SD 57105-0900
Phone (605) 336-2140

1600 S Highline Ave
Sioux Falls, SD 57110-1008

1600 S Highline Ave
Suite 310
Sioux Falls, SD 57110-1007
Phone (605) 322-7600

1910 W 69TH St
Sioux Falls, SD 57108-5612
Phone (605) 322-5200

2100 S Marion Rd
Sioux Falls, SD 57106-3646
Phone (605) 322-5180

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1237SDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Feb 10, 2025 Accepting new patients
Yankton Medical Clinic PC Current Accepting new patients
Avera McKennan CurrentSince Feb 10, 2025 Accepting new patients
Yankton Medical Clinic PC CurrentSince Dec 6, 2022 Accepting new patients
Yankton Medical Clinic PC CurrentSince Dec 6, 2022 Accepting new patients

Locations

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

1910 W 69th St
Sioux Falls, SD 57108
Phone (605) 322-5200

2100 S Marion Rd
Sioux Falls, SD 57106
Phone (605) 322-1010

101 S Plum St
Vermillion, SD 57069
Phone (605) 624-8643

1104 W 8th St
Yankton, SD 57078
Phone (605) 665-7841

Interoperability endpoints

  • Direct secure messaging: todd.espicha@avera.sdhealthlink.net

Organizations & group practices 6

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": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1174103188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S 7TH AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571050998",
            "telephone_number": "605-504-5400",
            "fax_number": "605-504-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S 7TH AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571050998",
            "telephone_number": "605-504-5400",
            "fax_number": "605-504-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPICHA",
        "first_name": "TODD",
        "middle_name": "A",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-13",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.