Active NPI
Daniel Y Rawson, MD
- Pulmonary Disease Physician
- Rapid City, SD
National Provider Identifier
1295770568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 4119
- Practice address
- 640 Flormann St
Rapid City, SD 57701-4679 - Phone
- (605) 755-3300
- Fax
- (605) 755-0707
- NPI assigned
- Jun 19, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 4119 | SD | Primary |
Addresses
Primary practice location
640 Flormann St
Rapid City, SD 57701-4679
Mailing address
353 Fairmont Blvd
Atten Medical Staff Services
Rapid City, SD 57701-7350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00368656 | Other | SD | RR MEDICARE |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4119 | SD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monument Health Rapid City Hospital, Inc | Current | Accepting new patients | |
| Monument Health Rapid City Hospital Inc | Current | Accepting new patients | |
| Monument Health Rapid City Hospital, Inc. | Current | Accepting new patients |
Locations
353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000
640 Flormann St
Rapid City, SD 57701
Phone (605) 341-3140
640 Flormann St
Ste 300
Rapid City, SD 57701
Phone (605) 718-3300
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Rapid City, SD
- NPI 1275553463
SD
-
- Urgent Care Clinic/Center
- Rapid City, SD
- NPI 1215727854
-
- Psychiatry Physician
- Rapid City, SD
- NPI 1164797189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465344000000",
"number": "1295770568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "353 FAIRMONT BLVD",
"address_2": "ATTEN MEDICAL STAFF SERVICES",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577017350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 FLORMANN ST",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577014679",
"telephone_number": "605-755-3300",
"fax_number": "605-755-0707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAWSON",
"first_name": "DANIEL",
"middle_name": "Y",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-19",
"last_updated": "2016-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "SD",
"license": "4119",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00368656",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.