Active NPI
Theresa Oey-Trudeau, MD
- Surgery Physician
- Brookings, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 8556
- Practice address
- 400 22ND Ave
Brookings, SD 57006-2497 - Phone
- (605) 697-9500
- Fax
- (605) 697-6939
- NPI assigned
- Jun 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 8556 | SD | Primary |
Addresses
Primary practice location
400 22ND Ave
Brookings, SD 57006-2497
Mailing address
310 22ND Ave
Brookings, SD 57006-2474
Phone (605) 696-2700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8556 | Other | SD | STATE LICENSE |
Other names 1
- Theresa Dale Hong Gwat Oey-Devine
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Sanford School of Medicine of University of South Dakota, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 22ND Ave
Brookings, SD 57006-2480
Phone (605) 692-6351
300 22ND Ave
Brookings, SD 57006-2496
310 22ND Ave
Brookings, SD 57006-2474
Phone (605) 697-9500
Hospital & facility affiliations
- Brookings Health System
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 68 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 73 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Brookings | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| City of Brookings | Current | Accepting new patients | |
| City of Brookings | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients |
Locations
310 22nd Ave
Brookings, SD 57006
Phone (605) 696-2700
400 22nd Ave
Brookings, SD 57006
Phone (605) 692-6236
300 22nd Ave
Brookings, SD 57006
Phone (605) 692-6351
Interoperability endpoints
- theresa.oeytrudeau@avera.sdhealthlink.net
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Brookings, SD
- NPI 1932281029
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
-
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
-
- General Practice Physician
- Brookings, SD
- NPI 1912936535
-
- Multi-Specialty Clinic/Center
- Brookings, SD
- NPI 1134558158
-
- Rural Health Clinic/Center
- Arlington, SD
- NPI 1902123581
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brookings, SD
- NPI 1275515579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662076800000",
"number": "1285839787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 22ND AVE",
"city": "BROOKINGS",
"state": "SD",
"postal_code": "570062474",
"telephone_number": "605-696-2700",
"fax_number": "605-697-6939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 22ND AVE",
"city": "BROOKINGS",
"state": "SD",
"postal_code": "570062497",
"telephone_number": "605-697-9500",
"fax_number": "605-697-6939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OEY-TRUDEAU",
"first_name": "THERESA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-15",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SD",
"license": "8556",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "8556",
"state": "SD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "THERESA",
"last_name": "OEY-DEVINE",
"middle_name": "DALE HONG GWAT",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brookings, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.