Jay R Allison, MD
Individual provider Active NPI Family Medicine Physician · Sioux Falls, SD
NPI 1235195041 · NPPES record last updated Jan 27, 2015
Key facts
- NPI
- 1235195041
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 20321 (NE)
- Practice address
- 1115 E 20TH St
Sioux Falls, SD 57105-1013 - Phone
- (605) 339-1783
- Fax
- (605) 367-7157
- NPI assigned
- Apr 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 42
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Nebraska College of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Freeman Regional Health Services
Rock County Hospital
Practice addresses (Care Compare)
510 E 8TH St
Freeman, SD 57029-2086
801 S State St
Bassett, NE 68714-5062
Phone 4026842906154
804 S Walnut St
Freeman, SD 57029-2033
Phone (605) 925-4000
Hospital & facility affiliations
- Avera @ Home
- Avera @ Home
- Avera @ Home
- Sanford Hospice
- Aseracare Hospice
- Aseracare Hospice
- Freeman Medical Center - Cah
- Rock County Hospital
- Avera McKennan Hospital & University Health Center
- Avera Sacred Heart Hospital
- Sanford Usd Medical Center
- Tieszen Memorial Home
- Oakview Terrace
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.27 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.04 of 100
- Quality
- 89.99
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NE, SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050411001060 | NE | Practitioner - Family Practice | 3274519087 | Reassigns benefits to 2 organizations |
| I20131231000487 | SD | Practitioner - Family Practice | 3274519087 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20321 | NE | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Sioux Falls | Current | Accepting new patients | |
| City of Sioux Falls | Current |
Accepting new patients | |
| Freeman Regional Health Services | Current | Accepting new patients | |
| Rock County Hospital | Current | Accepting new patients | |
| Rural Medical Clinics | Current | Accepting new patients | |
| City of Sioux Falls | Current |
Accepting new patients | |
| Freeman Regional Health Services | Current |
Accepting new patients | |
| Sacred Heart Rural Health Clinics | Family Medicine | Past | Accepting new patients |
| Freeman Regional Health Services | Past | Accepting new patients | |
| Tieszen Memorial Home Inc | Past | Accepting new patients |
Locations
102 E South St
Bassett, NE 68714
Phone (402) 684-2906
801 S State St
Bassett, NE 68714
Phone (402) 684-2730
510 E 8th St
Freeman, SD 57029
Phone (605) 925-4000
804 S Walnut St
Freeman, SD 57029
Phone (605) 925-4000
521 N Main Ave
Ste 100
Sioux Falls, SD 57104
Phone (605) 367-8029
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20321 | NE | Yes |
Addresses
Primary practice location
1115 E 20TH St
Sioux Falls, SD 57105-1013
Mailing address
1115 E 20TH St
Sioux Falls, SD 57105-1013
Phone (605) 339-1783
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025621600 | Medicaid | NE |
Other providers in Sioux Falls, SD
- Jo Dee Allen
- Raymond H Allen
- Richard Dwight Allen
- Ann Rachelle Allender
- Alexandria Naomi Allison
- Farah Mazin Ahmad Almudallal
- Josie Ruth Alpers
- Alpha Sigma Health Group, Inc.
- Alternative Back Care Clinic, PC
- Kristin Altman
All providers in Sioux Falls, SD · Family Medicine Physician in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.