NPIMap

Individual provider Active NPI

Benjamin Walters, D.O.

  • Orthopaedic Surgery Physician
  • Sioux Falls, SD
National Provider Identifier
1215385232
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
13638 Issued in SD
Practice address
6100 S Louise Ave Ste 2100
Sioux Falls, SD 57108-6029
Phone
(605) 504-1100
Fax
(605) 504-1101
NPI assigned
May 31, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 5101022839 MI
Orthopaedic Surgery Physician 207X00000X 13638 SD Primary

Addresses

Primary practice location

6100 S Louise Ave Ste 2100
Sioux Falls, SD 57108-6029

Mailing address

6100 S Louise Ave Ste 2100
Sioux Falls, SD 57108-6029
Phone (605) 504-1100

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
I20220823002542 SD Practitioner - Orthopedic Surgery 9931470614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

323 SW 10TH St
Madison, SD 57042-3200
Phone (605) 504-1100

6100 S Louise Ave
Sioux Falls, SD 57108-6029

901 E Virgil Ave
Milbank, SD 57252-2124
Phone (605) 432-4538

903 N Washington Ave
Madison, SD 57042-1634
Phone (605) 256-6951

917 N Washington Ave
Madison, SD 57042-1634
Phone (605) 256-6551

Hospital & facility affiliations

  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016
  • Madison Regional Health System Hospital, Madison, SD, CCN 431300
  • Avera St Mary'S Hospital Hospital, Pierre, SD, CCN 430015
  • Avera Dells Area Hospital - Cah Hospital, Dell Rapids, SD, CCN 431331
  • Avera Hand County Memorial Hospital and Clinic Hospital, Miller, SD, CCN 431337

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement22
Knee replacement37
Lower limb (leg) arthroscopy (minimally invasive joint repair)14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan Orthopaedic Surgery CurrentSince Aug 1, 2022 Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan CurrentSince Aug 1, 2022 Accepting new patients
Affinity Orthopedic Specialists LLC Orthopaedic Surgery PastSince May 1, 2021 Accepting new patients

Locations

6100 S Louise Ave
Ste 2100
Sioux Falls, SD 57108
Phone (605) 504-1100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9954/brand/1/csg/81/fhir/r4
  • Direct secure messaging: benjamin.walters@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 and National Provider Directory roles.

Hospital & facility affiliations 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1215385232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 S LOUISE AVE STE 2100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571086029",
            "telephone_number": "605-504-1100",
            "fax_number": "605-504-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 S LOUISE AVE STE 2100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571086029",
            "telephone_number": "605-504-1100",
            "fax_number": "605-504-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "BENJAMIN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-31",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101022839",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SD",
            "license": "13638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.