Individual provider Active NPI

Clinton Lyle Seifert, MD

  • Surgery Physician
  • Mitchell, SD
National Provider Identifier
1306041801
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
8535 Issued in SD
Practice address
2200 N Kimball St Ste 200
Mitchell, SD 57301-1122
Phone
(605) 996-8989
NPI assigned
Jun 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 046768 KS
Surgery Physician 208600000X 8535 SD Primary

Addresses

Primary practice location

2200 N Kimball St Ste 200
Mitchell, SD 57301-1122

Mailing address

2200 N Kimball St Ste 200
Mitchell, SD 57301-1122
Phone (605) 996-8989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191218000283 MO Practitioner - General Surgery 3577713619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Kansas School of Med (KC/Wich/Sal), 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cass Regional Medical CenterGroup PAC ID 7517853781, 44 clinicians

Practice addresses (Care Compare)

1601 N State Route 7
Pleasant Hill Medical Clinic
Pleasant Hill, MO 64080-1945
Phone (816) 540-2111

2800 E Rock Haven Rd
Harrisonville, MO 64701-4411
Phone (816) 380-5888

2820 E Rock Haven Rd
Harrisonville, MO 64701-4414

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy27
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux35
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
046768KSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cass Regional Medical Center CurrentSince Dec 1, 2019 Accepting new patients
Cass Regional Medical Center CurrentSince Dec 1, 2019 Accepting new patients
Harrisonville Family Medicine, Inc. Past Accepting new patients

Locations

2800 E Rock Haven Rd
Harrisonville, MO 64701
Phone (816) 380-3474

2820 E Rock Haven Rd
Ste 210
Harrisonville, MO 64701
Phone (816) 380-7470

2820 E Rock Haven Rd
Ste 120
Harrisonville, MO 64701
Phone (816) 380-2530

1601 N State Route 7
Pleasant Hill, MO 64080
Phone (816) 540-2111

Interoperability endpoints

  • Direct secure messaging: clinton.seifert@cassregional.direct-ci.com
  • Direct secure messaging: clint.seifert@avera.sdhealthlink.net
  • FHIR API: https://api.platform.athenahealth.com/14773/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 1

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

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": "1344384000000",
    "number": "1306041801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N KIMBALL ST STE 200",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573011122",
            "telephone_number": "605-996-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N KIMBALL ST STE 200",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573011122",
            "telephone_number": "605-996-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIFERT",
        "first_name": "CLINTON",
        "middle_name": "LYLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "046768",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SD",
            "license": "8535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchell, SD

Sources for this page

Verify at the official NPI Registry.