NPIMap

Individual provider Active NPI

Matthew T Pardy, MD

  • Diagnostic Radiology Physician
  • Sioux Falls, SD
National Provider Identifier
1306808720
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
5386 Issued in SD
Practice address
1325 S Cliff Ave
Sioux Falls, SD 57105-1007
Phone
(605) 322-4878
Fax
(605) 322-4820
NPI assigned
Apr 3, 2006
Last updated
Oct 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 5386 SD Primary

Addresses

Primary practice location

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

Mailing address

PO Box 86370
Sioux Falls, SD 57118-6370
Phone (605) 322-7510

Other identifiers 2

IdentifierTypeStateIssuer
7201122MedicaidSD
7201120MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, MN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041013000875 SD Practitioner - Diagnostic RadiologyPractitioner - Other (Physician) 9335109446 Reassigns benefits to 6 organizations
I20190812003287 MN Practitioner - Diagnostic Radiology 9335109446 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera MarshallGroup PAC ID 5799695227, 102 clinicians
Madison Community HospitalGroup PAC ID 3779579743, 46 clinicians
Avera McKennanGroup PAC ID 0345157103, 957 clinicians
Avera Queen of PeaceGroup PAC ID 9335050806, 122 clinicians

Practice addresses (Care Compare)

1325 S Cliff Ave
Sioux Falls, SD 57105-1007
Phone (605) 322-4878

323 SW 10TH St
Madison, SD 57042-3200
Phone (605) 256-6551

525 N Foster
Mitchell, SD 57301-2966
Phone (605) 995-2473

525 N Foster St
Mitchell, SD 57301-2966
Phone (605) 995-2510

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1091MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan Diagnostic Radiology CurrentSince Mar 1, 2012 Accepting new patients
Avera Queen of Peace Current Accepting new patients
Avera Queen of Peace CurrentSince May 26, 2018 Accepting new patients
Avera McKennan CurrentSince Mar 1, 2012 Accepting new patients
Avera Marshall CurrentSince Aug 1, 2019 Accepting new patients
Freeman Regional Health Services CurrentSince Jun 20, 2018 Accepting new patients
Avera Marshall CurrentSince Aug 1, 2019 Accepting new patients
Avera Queen of Peace CurrentSince May 26, 2018 Accepting new patients
Madison Community Hospital CurrentSince Jan 24, 2017 Accepting new patients
Avera McKennan Current Accepting new patients
Freeman Regional Health Services CurrentSince Jun 20, 2018 Accepting new patients
Madison Community Hospital CurrentSince Jan 24, 2017 Accepting new patients
Avera Marshall CurrentSince Nov 12, 2019 Accepting new patients

Locations

300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631

400 22nd Ave
Brookings, SD 57006
Phone (605) 692-6236

804 S Walnut St
Freeman, SD 57029
Phone (605) 925-4000

323 SW 10th St
Madison, SD 57042
Phone (605) 256-6551

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

1325 S Cliff Ave
Sioux Falls, SD 57105
Phone (605) 322-5000

1417 S Minnesota Ave
Sioux Falls, SD 57105
Phone (605) 336-0515

Organizations & group practices 14

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.

View all 14

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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1306808720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86370",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571186370",
            "telephone_number": "605-322-7510",
            "fax_number": "605-322-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S CLIFF AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051007",
            "telephone_number": "605-322-4878",
            "fax_number": "605-322-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDY",
        "first_name": "MATTHEW",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SD",
            "license": "5386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7201122",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7201120",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.