NPIMap

Individual provider Active NPI

Arlin Monroe Myrmoe, M.D.

  • Internal Medicine Physician
  • Aberdeen, SD
National Provider Identifier
1184893349
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2639 Issued in SD
Practice address
815 1St Ave SE
Suite E104
Aberdeen, SD 57401-4602
Phone
(605) 622-5458
Fax
(605) 622-5473
NPI assigned
Feb 21, 2008
Last updated
Jul 21, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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 2639 SD Primary

Addresses

Primary practice location

815 1St Ave SE
Suite E104
Aberdeen, SD 57401-4602

Mailing address

PO Box 1460
Aberdeen, SD 57402-1460
Phone (605) 622-2856

Other identifiers 5

IdentifierTypeStateIssuer
14718MedicaidND
6001413MedicaidSD
2639OtherSDDAKOTACARE
255782OtherMIDLANDS CHOICE
4992254OtherSDWELLMARK BC/BS

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
I20050324001082 SD Practitioner - Internal Medicine 2860448511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Sanford School of Medicine of University of South Dakota, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera St LukesGroup PAC ID 6406764927, 164 clinicians

Practice addresses (Care Compare)

815 1St Ave SE
Aberdeen, SD 57401-4602
Phone (605) 622-2535

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Avera St. Luke's CurrentSince Apr 28, 2008 Accepting new patients
Avera St. Luke's Internal Medicine Current Accepting new patients
Avera St. Lukes CurrentSince Apr 28, 2008 Accepting new patients
Bethesda Home of Aberdeen, Inc. Past Accepting new patients

Locations

105 S State St
Ste 201
Aberdeen, SD 57401
Phone (605) 622-5458

305 S State St
Aberdeen, SD 57401
Phone (605) 229-3000

815 1st Ave SE
Aberdeen, SD 57401
Phone (605) 622-2570

815 1st Ave SE
Ste E104
Aberdeen, SD 57401
Phone (605) 622-5458

Interoperability endpoints

  • Direct secure messaging: arlin.myrmoe@avera.sdhealthlink.net

Organizations & group practices 4

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 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1184893349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1460",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574021460",
            "telephone_number": "605-622-2856",
            "fax_number": "605-622-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 1ST AVE SE",
            "address_2": "SUITE E104",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014602",
            "telephone_number": "605-622-5458",
            "fax_number": "605-622-5473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYRMOE",
        "first_name": "ARLIN",
        "middle_name": "MONROE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-21",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SD",
            "license": "2639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14718",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6001413",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "2639",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "255782",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC/BS",
            "identifier": "4992254",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.