Nathan Andrew Bockholt, M.D.
Individual provider Active NPI Urology Physician · Sioux Falls, SD
NPI 1295901460 · NPPES record last updated Sep 25, 2015
Key facts
- NPI
- 1295901460
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- 9520 (SD)
- Practice address
- 201 W 69TH St
Sioux Falls, SD 57108-2403 - Phone
- (605) 336-0635
- Fax
- (605) 271-0543
- NPI assigned
- May 7, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 29
Medicare Care Compare profile
- Specialty
- Urology
- Education
- Sanford School of Medicine of University of South Dakota, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Urology Specialists Chartered
Practice addresses (Care Compare)
201 W 69TH St
Sioux Falls, SD 57108-2403
Phone (605) 336-0635
Hospital & facility affiliations
- Huron Regional Medical Center
- Avera McKennan Hospital & University Health Center
- Sanford Usd Medical Center
- Sioux Falls Specialty Hospital
- Avera Hand County Memorial Hospital and Clinic
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 23 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- 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 |
|---|---|---|---|---|
| I20150731014992 | SD | Practitioner - Urology | 1759527492 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology Specialists Chartered | Urology | Current |
Accepting 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 | |
| Huron Regional Medical Center Inc | Current |
Accepting new patients | |
| Huron Laboratory SVC PC | Current | Accepting new patients | |
| Usc Ambulatory Surgical Center Prof LLC | Past | Accepting new patients |
Locations
172 4th St SE
Huron, SD 57350
Phone (605) 353-6593
534 Oregon Ave SE
Huron, SD 57350
Phone (605) 353-7660
353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000
201 W 69th St
Sioux Falls, SD 57108
Phone (605) 336-0635
910 E 20th St
Sioux Falls, SD 57105
Phone (602) 338-7098
Interoperability endpoints
- nathan.bockholt.p1@direct.urologyspecialists.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- nbockholt@urologyspecialists.gwaydirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 9520 | SD | Yes |
Addresses
Primary practice location
201 W 69TH St
Sioux Falls, SD 57108-2403
Mailing address
201 W 69TH St
Sioux Falls, SD 57108-2403
Phone (605) 336-0635
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295901460 | Medicaid | SD |
Other providers in Sioux Falls, SD
- Denise Marie Blume
- Ashlee Blumhoff
- Brigitta Bly
- Daniel Boadwine
- Elizabeth Megan Bockelman
- Jody Bockorny
- Allison Annette Boe
- Kristin Boe
- Lurene Boehm-Shereck
- Andrew David Boehnke
All providers in Sioux Falls, SD · Urology 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 Sep 25, 2015. 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.