Individual provider Active NPI

Andrea Bordewyk, MD

  • Ophthalmology Physician
  • Sioux Falls, SD
National Provider Identifier
1255829776
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
14412 Issued in SD
Practice address
6601 S Minnesota Ave Ste 200
Sioux Falls, SD 57108-2564
Phone
(605) 336-6294
NPI assigned
Apr 30, 2018
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 14412 SD Primary

Addresses

Primary practice location

6601 S Minnesota Ave Ste 200
Sioux Falls, SD 57108-2564

Mailing address

6601 S Minnesota Ave Ste 200
Sioux Falls, SD 57108-2564

Other names 1

  • Andrea Petersen Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abordewyk@ophltd.intellechartdirect.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230802004109 SD Practitioner - Ophthalmology 7416205489 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmology LTDGroup PAC ID 0547152571, 13 clinicians

Practice addresses (Care Compare)

705 14TH Ave NE
Watertown, SD 57201-6827
Phone (605) 886-7722

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14412SDMDOphthalmology Physician
0404SDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology LTD Ophthalmology CurrentSince Sep 1, 2023 Accepting new patients
Ophthalmology LTD Eye Surgery Center L L C CurrentSince Sep 1, 2023 Accepting new patients
Ophthalmology LTD Ophthalmology CurrentSince Sep 1, 2023 Accepting new patients

Locations

436 E 4th St
Dell Rapids, SD 57022
Phone (605) 428-5701

1415 N Sanborn Blvd
Mitchell, SD 57301
Phone (605) 996-2020

6601 S Minnesota Ave
Ste 100
Sioux Falls, SD 57108
Phone 6053366294630

6601 S Minnesota Ave
Ste 200
Sioux Falls, SD 57108
Phone (605) 731-5640

705 14th Ave NE
Watertown, SD 57201
Phone (605) 886-7722

705 14th Ave NE
Ste 101
Watertown, SD 57201

Interoperability endpoints

  • Direct secure messaging: abordewyk@ophltd.intellechartdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1255829776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 S MINNESOTA AVE STE 200",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 S MINNESOTA AVE STE 200",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082564",
            "telephone_number": "605-336-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDEWYK",
        "first_name": "ANDREA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-30",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SD",
            "license": "14412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abordewyk@ophltd.intellechartdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6601 S Minnesota Ave Ste 200",
            "city": "Sioux Falls",
            "state": "SD",
            "country_code": "US",
            "postal_code": "571082564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "PETERSEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.