NPIMap

Individual provider Active NPI

Barry S Monfore, MD

  • Diagnostic Radiology Physician
  • Pierre, SD
National Provider Identifier
1225051873
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4236 Issued in SD
Practice address
800 E Dakota Ave
Pierre, SD 57501-3313
Phone
(605) 224-3199
Fax
(605) 945-3237
NPI assigned
Jul 25, 2006
Last updated
Feb 21, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4236 SD Primary

Addresses

Primary practice location

800 E Dakota Ave
Pierre, SD 57501-3313

Mailing address

1601 N Harrison Ave Ste 1B
Pierre, SD 57501-2376
Phone (605) 945-1371

Other identifiers 4

IdentifierTypeStateIssuer
13900MedicaidND
4994177OtherSDBCBS
530033900MedicaidMN
7207842MedicaidSD

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
I20060505000300 SD Practitioner - Diagnostic Radiology 7315957362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera St MarysGroup PAC ID 0143134965, 97 clinicians

Practice addresses (Care Compare)

801 E Sioux Ave
Pierre, SD 57501-3323
Phone (605) 224-5901

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4236SDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera St Marys CurrentSince Nov 2, 2013 Accepting new patients
Avera St Marys Current Accepting new patients
Avera St Marys CurrentSince Nov 2, 2013 Accepting new patients

Locations

800 E Dakota Ave
Pierre, SD 57501
Phone (605) 224-3100

Interoperability endpoints

  • Direct secure messaging: barry.monfore@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 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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361404800000",
    "number": "1225051873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N HARRISON AVE STE 1B",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575012376",
            "telephone_number": "605-945-1371",
            "fax_number": "605-945-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E DAKOTA AVE",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575013313",
            "telephone_number": "605-224-3199",
            "fax_number": "605-945-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONFORE",
        "first_name": "BARRY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SD",
            "license": "4236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13900",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4994177",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "530033900",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7207842",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pierre, SD

Sources for this page

Verify at the official NPI Registry.