NPIMap

Individual provider Active NPI

Nathan Andrew Bockholt, M.D.

  • Urology Physician
  • Sioux Falls, SD
National Provider Identifier
1295901460
Registry record updated Sep 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
9520 Issued in 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
Last updated
Sep 25, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 9520 SD Primary

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

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
I20150731014992 SD Practitioner - Urology 1759527492 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
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 CharteredGroup PAC ID 9234031329, 47 clinicians

Practice addresses (Care Compare)

201 W 69TH St
Sioux Falls, SD 57108-2403
Phone (605) 336-0635

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Rapid City Hospital, Inc. CurrentSince Jun 12, 2019 Accepting new patients
Huron Regional Medical Center Inc CurrentSince Jan 1, 2017 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Jun 12, 2019 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Huron Laboratory SVC PC Current Accepting new patients
Urology Specialists Chartered Urology CurrentSince Aug 1, 2015 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: nathan.bockholt.p1@direct.urologyspecialists.nextgenshare.com
  • Direct secure messaging: nbockholt@urologyspecialists.gwaydirect.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443139200000",
    "number": "1295901460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W 69TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082403",
            "telephone_number": "605-336-0635",
            "fax_number": "605-271-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W 69TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082403",
            "telephone_number": "605-336-0635",
            "fax_number": "605-271-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCKHOLT",
        "first_name": "NATHAN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-07",
        "last_updated": "2015-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SD",
            "license": "9520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.