NPIMap

Individual provider Active NPI

Tyler Anthony Ptacek, M.D.

  • Interventional Pain Medicine Physician
  • Rapid City, SD
National Provider Identifier
1225324791
Registry record updated Apr 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
12138 Issued in SD
Practice address
101 E Minnesota St Ste 200
Rapid City, SD 57701-7758
Phone
(605) 342-3280
NPI assigned
Jun 23, 2011
Last updated
Apr 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 6652 NE
Family Medicine Physician 207Q00000X 7731 KS
Interventional Pain Medicine Physician 208VP0014X 12138 SD Primary
Interventional Pain Medicine Physician 208VP0014X 2016019592 MO

Addresses

Primary practice location

101 E Minnesota St Ste 200
Rapid City, SD 57701-7758

Mailing address

3509 Dunham Dr
Rapid City, SD 57702-0567
Phone (402) 340-4131

Other practice location 1

984150 Nebraska Medical Ctr
Unmc
Omaha, NE 68198-4150
Phone (402) 559-6329

Other practice location 2

1723 Broadway St Ste 410
Cape Girardeau, MO 63701-4556
Phone (573) 332-7746 ext. 178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, SD2 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
I20160801001348 MO Practitioner - Interventional Pain ManagementPractitioner - Pain Management 0749598688 Reassigns benefits to 1 organization
I20201023002279 SD Practitioner - Pain ManagementPractitioner - Anesthesiology 0749598688

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
University of Nebraska College of Medicine, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 6020
Rapid City, SD 57709-6020

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6652NEMDAnesthesiology Physician
7731KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Resource Anesthesiology Associates of Mo LLC Anesthesiology CurrentSince Apr 22, 2017 Accepting new patients
Rapid City Medical Center, LLP Current Accepting new patients
Plastic Surgical Center of Rapid City, Prof. L.L.C. Current Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600

101 E Minnesota St
Rapid City, SD 57701

101 E Minnesota St
Ste 200
Rapid City, SD 57701
Phone (605) 890-2517

101 E Minnesota St
Ste 210
Rapid City, SD 57701
Phone (605) 341-1122

2820 Mount Rushmore Rd
Rapid City, SD 57701
Phone (605) 721-8121

2820 Mount Rushmore Rd
#0
Rapid City, SD 57701

Interoperability endpoints

  • Direct secure messaging: tyler.ptacek@rcmc.eclinicaldirectplus.com

Organizations & group practices 5

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 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775260800000",
    "number": "1225324791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 DUNHAM DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577020567",
            "telephone_number": "402-340-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E MINNESOTA ST STE 200",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017758",
            "telephone_number": "605-342-3280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "984150 Nebraska Medical Ctr",
            "address_2": "UNMC",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681984150",
            "country_code": "US",
            "telephone_number": "402-559-6329",
            "fax_number": "402-559-7372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1723 Broadway St Ste 410",
            "address_purpose": "LOCATION",
            "city": "Cape Girardeau",
            "state": "MO",
            "postal_code": "637014556",
            "country_code": "US",
            "telephone_number": "573-332-7746 x178",
            "fax_number": "573-339-9709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PTACEK",
        "first_name": "TYLER",
        "middle_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2026-04-04",
        "certification_date": "2026-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NE",
            "license": "6652",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "7731",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "SD",
            "license": "12138",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MO",
            "license": "2016019592",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.