NPIMap

Individual provider Active NPI

Ronald Douglas Rovang, M.D.

  • Internal Medicine Physician
  • Aberdeen, SD
National Provider Identifier
1295794378
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3815 Issued in SD
Practice address
815 1St Ave SE
Suite 104
Aberdeen, SD 57401-4602
Phone
(605) 622-5458
Fax
(605) 622-5473
NPI assigned
Mar 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 3815 SD Primary

Addresses

Primary practice location

815 1St Ave SE
Suite 104
Aberdeen, SD 57401-4602

Mailing address

PO Box 1460
Aberdeen, SD 57402-1460
Phone (605) 622-5458

Other identifiers 1

IdentifierTypeStateIssuer
6002705MedicaidSD

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
I20100112000733 SD Practitioner - Internal Medicine 4587705512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Sanford School of Medicine of University of South Dakota, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera St LukesGroup PAC ID 6406764927, 164 clinicians

Practice addresses (Care Compare)

305 S State St
Aberdeen, SD 57401-4527
Phone (605) 622-5100

8 E US Hwy 12
Groton, SD 57445-2176
Phone (605) 397-4242

Hospital & facility affiliations

  • Avera St Lukes Hospital, Aberdeen, SD, CCN 430014
  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016
  • Community Memorial Hospital Hospital, Redfield, SD, CCN 431316
  • Bowdle Hospital - Cah Hospital, Bowdle, SD, CCN 431318
  • Mobridge Regional Hospital - Cah Hospital, Mobridge, SD, CCN 431325

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3815SDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera St. Luke'S Internal Medicine Current Accepting new patients
Avera St Luke'S CurrentSince Jul 11, 1994 Accepting new patients
Avera St. Lukes CurrentSince Jul 11, 1994 Accepting new patients
Avera St Lukes Current Accepting new patients

Locations

815 1st Ave SE
Ste 104
Aberdeen, SD 57401
Phone (605) 225-0378

201 S Lloyd St
Ste E101
Aberdeen, SD 57401
Phone (605) 225-8800

305 S State St
Aberdeen, SD 57401
Phone (605) 229-3000

201 S Lloyd St
Aberdeen, SD 57401
Phone (602) 225-8800

Interoperability endpoints

  • Direct secure messaging: ronald.rovang@avera.sdhealthlink.net

Organizations & group practices 4

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.

Hospital & facility affiliations 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1295794378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1460",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574021460",
            "telephone_number": "605-622-5458",
            "fax_number": "605-622-5473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 1ST AVE SE",
            "address_2": "SUITE 104",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014602",
            "telephone_number": "605-622-5458",
            "fax_number": "605-622-5473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROVANG",
        "first_name": "RONALD",
        "middle_name": "DOUGLAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SD",
            "license": "3815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002705",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.