NPIMap

Individual provider Active NPI

Jay R Allison, MD

  • Family Medicine Physician
  • Sioux Falls, SD
National Provider Identifier
1235195041
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20321 Issued in 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
Last updated
Jan 27, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20321 NE Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, 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
I20050411001060 NE Practitioner - Family Practice 3274519087 Reassigns benefits to 2 organizations
I20131231000487 SD Practitioner - Family Practice 3274519087 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rock County HospitalGroup PAC ID 7113970138, 4 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
95.27 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.04 of 100Reported as apm
Quality
89.99
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20321NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Freeman Regional Health Services Current Accepting new patients
City of Sioux Falls CurrentSince Nov 3, 2014 Accepting new patients
Freeman Regional Health Services CurrentSince Sep 17, 2013 Accepting new patients
Rock County Hospital Current Accepting new patients
Rural Medical Clinics Current Accepting new patients
City of Sioux Falls CurrentSince Nov 3, 2014 Accepting new patients
City of Sioux Falls Current Accepting new patients
Tieszen Memorial Home Inc Past Accepting new patients
Sacred Heart Rural Health Clinics Family Medicine Past Accepting new patients
Freeman Regional Health Services Past Accepting new patients

Locations

102 E South St
Bassett, NE 68714
Phone (402) 684-3366

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

Organizations & group practices 12

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 42

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

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1235195041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 E 20TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051013",
            "telephone_number": "605-339-1783",
            "fax_number": "605-367-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 E 20TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051013",
            "telephone_number": "605-339-1783",
            "fax_number": "605-367-7157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLISON",
        "first_name": "JAY",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2015-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "20321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.