NPIMap

Individual provider Active NPI

Keely Marie Hack, M.D.

  • Hematology & Oncology Physician
  • Sioux Falls, SD
National Provider Identifier
1184743148
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
8920 Issued in SD
Practice address
1309 W 17TH St Ste 101
Sioux Falls, SD 57104-8805
Phone
(605) 328-8000
Fax
(605) 328-8001
NPI assigned
Mar 28, 2007
Last updated
Aug 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5463 NE
Hematology & Oncology Physician 207RH0003X 25122 NE
Hematology & Oncology Physician 207RH0003X 8920 SD Primary

Addresses

Primary practice location

1309 W 17TH St Ste 101
Sioux Falls, SD 57104-8805

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, MN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130923000427 SD Practitioner - Hematology/OncologyPractitioner - Internal Medicine 7810154671 Reassigns benefits to 2 organizations
I20170505000248 MN Practitioner - Hematology/OncologyPractitioner - Internal Medicine 7810154671 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Sanford School of Medicine of University of South Dakota, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sanford Health NetworkGroup PAC ID 6800707100, 357 clinicians
Sanford Medical CenterGroup PAC ID 8325950215, 847 clinicians

Practice addresses (Care Compare)

1018 6TH Ave
Worthington, MN 56187-2202
Phone (507) 372-3800

1301 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-2200

1305 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-7300

1309 W 17TH St
Sioux Falls, SD 57104-8805

4405 E 26TH St
Sioux Falls, SD 57103-4187
Phone (605) 332-2883

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.55 of 100Reported as group
Quality
66.54
Promoting interoperability
100
Improvement activities
40
Cost
45.26

Merit-based Incentive Payment System (MIPS)

Final score
85.71 of 100Reported as group
Quality
85.75
Improvement activities
40
Cost
78.48

Merit-based Incentive Payment System (MIPS)

Final score
85.53 of 100Reported as group
Quality
80.98
Promoting interoperability
100
Improvement activities
40
Cost
70.78

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
78.77
Promoting interoperability
100
Improvement activities
40
Cost
70.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5463NEMDInternal Medicine Physician
25122NEMDHematology & Oncology Physician
8920SDMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Sanford Clinic Current Accepting new patients
Sanford Clinic CurrentSince Aug 26, 2013 Accepting new patients
Sanford Clinic CurrentSince Aug 26, 2013 Accepting new patients
Sanford Clinic Current Accepting new patients
Sanford Health Network CurrentSince Jul 8, 2020 Accepting new patients
Sanford Clinic CurrentSince Apr 2, 2017 Accepting new patients
Sanford Health Network Internal Medicine CurrentSince Jul 8, 2020 Accepting new patients
Sanford Medical Center CurrentSince Jul 1, 2022 Accepting new patients
Sanford Clinic Past Accepting new patients
Sanford Clinic Past Accepting new patients

Locations

249 5th St E
Tracy, MN 56175
Phone (507) 629-3520

2150 Hospital Dr
Windom, MN 56101
Phone (507) 831-0618

1018 6th Ave
Worthington, MN 56187
Phone (507) 343-6100

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

1309 W 17th St
Ste 101
Sioux Falls, SD 57104
Phone (605) 328-8000

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

Organizations & group practices 11

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 10

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1184743148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-328-6585",
            "fax_number": "605-328-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 W 17TH ST STE 101",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571048805",
            "telephone_number": "605-328-8000",
            "fax_number": "605-328-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACK",
        "first_name": "KEELY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "5463",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NE",
            "license": "25122",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "SD",
            "license": "8920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.