Courtney A. Keith, M.D.
Individual provider Active NPI Family Medicine Physician · Sioux Falls, SD
NPI 1265632483 · NPPES record last updated Mar 21, 2025
Key facts
- NPI
- 1265632483
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 11628 (SD)
- Practice address
- 1200 S 7TH Ave
Sioux Falls, SD 57105-0900 - Phone
- (605) 504-5400
- Fax
- (605) 504-5150
- NPI assigned
- Jul 25, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 24
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Sanford School of Medicine of University of South Dakota, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Avera McKennan
Practice addresses (Care Compare)
1200 S 7TH Ave
Sioux Falls, SD 57105-0900
Phone (605) 336-2140
Hospital & facility affiliations
- Avera @ Home
- Avera McKennan Hospital & University Health Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in SD, MN, TX
- 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 |
|---|---|---|---|---|
| I20100817001039 | SD | Practitioner - Family Practice | 0345300976 | Reassigns benefits to 1 organization |
| I20121106000456 | MN | Practitioner - Family Practice | 0345300976 | |
| I20190911001227 | TX | Practitioner - Family Practice | 0345300976 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flandreau Santee Sioux Tribe | Family Medicine | Current |
Accepting new patients |
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Family Medicine | Current |
Accepting new patients |
| Avera McKennan | Current |
Accepting new patients | |
| Horizon Health Care, Inc | Past | Accepting new patients | |
| Flandreau Santee Sioux Tribe | Past |
Accepting new patients |
Locations
403 W Broad Ave
Flandreau, SD 57028
Phone (605) 997-2642
1200 S 7th Ave
Sioux Falls, SD 57105
Phone (605) 336-2140
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11628 | SD | Yes |
Addresses
Primary practice location
1200 S 7TH Ave
Sioux Falls, SD 57105-0900
Mailing address
1200 S 7TH Ave
Sioux Falls, SD 57105-0900
Phone (605) 504-5400
Other providers in Sioux Falls, SD
- Jeri Keenan-Cattnach
- Sarajo Kegler
- Keiser Chiropractic Prof., LLC
- Amber Rae Keiser
- Kimberly J Keiser
- Jeremy D Keith
- Meredith Michelle Keith
- Suzanne Marie Keizer
- Davette Keller
- Elly Claire Keller
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 Mar 21, 2025. 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.