Avera McKennan

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

Legal business name

AVERA MCKENNAN

Doing business as

Avera Maternal Fetal Medicine Sioux Falls
Avera Medical Group Maternal Fetal Medicine Sioux Falls

Practice address

1417 S. Cliff Ave.
Ste. 100
Sioux Falls, SD 57105-1063

Phone

(605) 322-8937

Fax

(605) 322-8938

NPI assigned

Feb 7, 2006

Last updated

Mar 12, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ronald J Place

Title

Ceo/President

Phone

(605) 322-8000

Specialties & licenses 1

Addresses

Other identifiers 9

Other names 2

• Avera Maternal Fetal Medicine Sioux Falls Doing business as
• Avera Medical Group Maternal Fetal Medicine Sioux Falls Doing business as

Medicare fee-for-service enrollment

Enrolled in SD, MN2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 21

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Avera McKennan

  dba Avera Medical Group Urogynecology Sioux Falls

  • Obstetrics & Gynecology Physician
  • Sioux Falls, SD
  • NPI 1003188269

  O20040109001102

  Same enrollment
• Avera McKennan

  dba Avera Medical Group University Psychiatry Associates Sioux Falls

  • Psychiatry Physician
  • Sioux Falls, SD
  • NPI 1013980598

  O20040109001102

  Same enrollment
• Avera McKennan

  dba Avera Medical Group Oncology and Hematology Sioux Falls

  • Hematology & Oncology Physician
  • Sioux Falls, SD
  • NPI 1033185582

  O20040109001102

  Same enrollment
• Avera McKennan

  dba Avera Interventional Radiology

  • Diagnostic Radiology Physician
  • Sioux Falls, SD
  • NPI 1053680678

  O20040109001102

  Same enrollment
• Avera McKennan

  dba Avera Medical Group Orthopedics and Sports Medicine

  • Orthopaedic Surgery Physician
  • Sioux Falls, SD
  • NPI 1093262131

  O20040109001102

  Same enrollment
• Avera McKennan

  dba Avera Nephrology

  • Nephrology Physician
  • Sioux Falls, SD
  • NPI 1104892892

  O20040109001102

  Same enrollment
• Avera McKennan

  dba Avera Medical Group Physical Medicine and Rehabilitation Sioux Falls

  • Physical Medicine & Rehabilitation Physician
  • Sioux Falls, SD
  • NPI 1134195332

  O20040109001102

  Same enrollment
• Avera McKennan

  dba Avera Medical Group McHale Institute

  • Hematology & Oncology Physician
  • Sioux Falls, SD
  • NPI 1164780201

  O20040109001102

  Same enrollment
• Avera McKennan

  dba Avera Medical Group Womens Health Specialists Sioux Falls

  • Obstetrics & Gynecology Physician
  • Sioux Falls, SD
  • NPI 1336111962

  O20040109001102

  Same enrollment
• Avera McKennan

  dba Avera Dermatology

  • Dermatology Physician
  • Sioux Falls, SD
  • NPI 1346216074

  O20040109001102

  Same enrollment
• Avera McKennan

  dba Avera Medical Group Pulmonary and Sleep Medicine Sioux Falls

  • Pulmonary Disease Physician
  • Sioux Falls, SD
  • NPI 1386610004

  O20040109001102

  Same enrollment
• Avera McKennan

  dba Avera Medical Group Midwest Psychiatric Medicine Sioux Falls

  • Psychiatry Physician
  • Sioux Falls, SD
  • NPI 1407829781

  O20040109001102

  Same enrollment

Locations

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katie M Crisp, DNP

  • Family Nurse Practitioner
  • Sioux Falls, SD
  • NPI 1700258852
  NPD
• Leslie N. Heddleston, MD

  • Maternal & Fetal Medicine Physician
  • Sioux Falls, SD
  • NPI 1639240732
  NPD
• Javier Kovacs, M.D.

  • Maternal & Fetal Medicine Physician
  • Sioux Falls, SD
  • NPI 1487094553
  NPD
• Kayla Marie Martens, CNP

  • Family Nurse Practitioner
  • Sioux Falls, SD
  • NPI 1720544562
  NPD
• Oscar Andres Viteri Molina, M.D.

  • Maternal & Fetal Medicine Physician
  • Sioux Falls, SD
  • NPI 1760739510
  NPD
• Adham Alsamsam, MD

  • Maternal & Fetal Medicine Physician
  • Southfield, MI
  • NPI 1578711636
  NPD
• Robert J Austin, MD

  • Maternal & Fetal Medicine Physician
  • South Bend, IN
  • NPI 1083677439
  NPD
• Keith Douglas Balderston, MD

  • Maternal & Fetal Medicine Physician
  • Springfield, OR
  • NPI 1871525337
  NPD
• Robert G. Bonebrake, M.D.

  • Maternal & Fetal Medicine Physician
  • Elkhorn, NE
  • NPI 1386758761
  NPD
• Matthew John Brady, MD

  • Obstetrics & Gynecology Physician
  • Saint Louis, MO
  • NPI 1114372703
  NPD
• Julia Marjorie Bregand-White, M.D.

  • Maternal & Fetal Medicine Physician
  • Orange, CA
  • NPI 1750600961
  NPD
• Joshua D Dahlke, M.D.

  • Maternal & Fetal Medicine Physician
  • Elkhorn, NE
  • NPI 1629124888
  NPD

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1205808748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86370",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571186370",
            "telephone_number": "605-322-7510",
            "fax_number": "605-322-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 S. CLIFF AVE.",
            "address_2": "STE. 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051063",
            "telephone_number": "605-322-8937",
            "fax_number": "605-322-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERA MCKENNAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "PLACE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "605-322-8000"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "95736",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4994376",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "361ROPE",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0573360",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "370624200",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE PLUS",
            "identifier": "361R1WA",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "482413000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIMEWEST",
            "identifier": "924114229808",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025040700",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera Maternal Fetal Medicine Sioux Falls",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avera Medical Group Maternal Fetal Medicine Sioux Falls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Avera McKennan (Avera Medical Group McHale Institute)
• Avera McKennan
• Avera McKennan (Avera Gastroenterology Sioux Falls)
• Avera McKennan (Avera on Louise Pharmacy)
• Avera McKennan (The Link)
• Avera McKennan (Avera McKennan Hospital and University Health Center - Rehab Unit)
• Avera McKennan (Avera McKennan Behavioral Health Services)
• Avera McKennan (Avera Medical Group Functional Medicine)
• Avera McKennan (Avera Medical Group McGreevy Southeastern Avenue)
• Avera McKennan (Headache Center)

• Maternal & Fetal Medicine Physician in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Maternal & Fetal Medicine Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.