NPIMap

Individual provider Active NPI

Sassen S Kwasa, M.D.

  • Hospitalist Physician
  • Sioux Falls, SD
National Provider Identifier
1255699260
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
9510 Issued in SD
Practice address
1400 W 22ND St
Sioux Falls, SD 57105
Phone
(605) 357-1300
NPI assigned
Apr 26, 2012
Last updated
Jun 12, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 9510 SD Primary

Addresses

Primary practice location

1400 W 22ND St
Sioux Falls, SD 57105

Mailing address

PO Box 19344
Nairobi, NAIROBI 00200
KE
Phone (402) 203-4153

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
I20151012000528 SD Practitioner - HospitalistPractitioner - Internal Medicine 7113156233 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
University of Nebraska College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford ClinicGroup PAC ID 0244143824, 268 clinicians

Practice addresses (Care Compare)

1301 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-2100

1305 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 328-8700

525 N Foster St
Mitchell, SD 57301-2966
Phone (605) 995-5635

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
75.87
Promoting interoperability
100
Improvement activities
40
Cost
68.53

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9510SDMDHospitalist Physician
0039SDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network Current Accepting new patients
Sanford Clinic CurrentSince Aug 31, 2015 Accepting new patients
Sanford Clinic Current Accepting new patients
Sanford Health Network CurrentSince Sep 28, 2019 Accepting new patients
Sanford Clinic CurrentSince Aug 31, 2015 Accepting new patients
Sanford Health Network CurrentSince Sep 28, 2019 Accepting new patients
Sanford Medical Center Past Accepting new patients

Locations

701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611

Organizations & group practices 8

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1255699260",
    "addresses": [
        {
            "country_code": "KE",
            "country_name": "Kenya",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "PO BOX 19344",
            "city": "NAIROBI",
            "state": "NAIROBI",
            "postal_code": "00200",
            "telephone_number": "402-203-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W 22ND ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57105",
            "telephone_number": "605-357-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWASA",
        "first_name": "SASSEN",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-26",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SD",
            "license": "9510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.