NPIMap

Individual provider Active NPI

Alicia Ali Khatt Kuyper, PA-C

  • Physician Assistant
  • Sioux Falls, SD
National Provider Identifier
1306430202
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1417 S Cliff Ave Ste 300
Sioux Falls, SD 57105-1062
Phone
(605) 504-3037
NPI assigned
Feb 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1417 S Cliff Ave Ste 300
Sioux Falls, SD 57105-1062

Mailing address

1417 S Cliff Ave Ste 300
Sioux Falls, SD 57105-1062
Phone (605) 504-3000

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
I20230110003046 SD Practitioner - Physician Assistant 8527468941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

1417 S Cliff Ave
Suite 300
Sioux Falls, SD 57105-1062
Phone (605) 504-3000

901 E Virgil Ave
Milbank, SD 57252-2124
Phone (605) 432-4538

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Dec 5, 2022 Accepting new patients
Avera McKennan CurrentSince Dec 5, 2022 Accepting new patients
Avera McKennan Physician Assistant Past Accepting new patients

Locations

118 N 7th Ave
Sheldon, IA 51201
Phone (712) 324-5041

1417 S Cliff Ave
Ste 300
Sioux Falls, SD 57105
Phone (605) 322-8630

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 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1306430202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 S CLIFF AVE STE 300",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051062",
            "telephone_number": "605-504-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 S CLIFF AVE STE 300",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051062",
            "telephone_number": "605-504-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATT KUYPER",
        "first_name": "ALICIA",
        "middle_name": "ALI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.