Active NPI
Benjamin T Klinkhammer, PA-C
- Physician Assistant
- Sioux Falls, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0579
- Practice address
- 201 W 69TH St
Sioux Falls, SD 57108-2424 - Phone
- (605) 336-0635
- Fax
- (605) 271-0543
- NPI assigned
- Feb 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 0579 | SD | |
| Physician Assistant | 363A00000X | 0579 | SD | Primary |
Addresses
Primary practice location
201 W 69TH St
Sioux Falls, SD 57108-2424
Mailing address
201 W 69TH St
Sioux Falls, SD 57108-2424
Phone (605) 336-0635
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6827430 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1325 S Cliff Ave
Sioux Falls, SD 57105-1007
6100 S Louise Ave
Sioux Falls, SD 57108-6029
901 E Virgil Ave
Milbank, SD 57252-2124
Phone (605) 432-4538
909 N Iowa Ave
Dell Rapids, SD 57022-1231
Phone (605) 428-5431
Hospital & facility affiliations
- Avera McKennan Hospital & University Health Center
- Avera Dells Area Hospital - Cah
- Avera Marshall Regional Medical Ctr
- Pipestone County Medical Center
- Madison Regional Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0579 | SD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Physician Assistant | Past | Accepting new patients |
Locations
911 5th Ave SW
Pipestone, MN 56164
Phone (507) 825-5811
6100 S Louise Ave
Ste 1500
Sioux Falls, SD 57108
Phone (605) 504-1100
201 W 69th St
Sioux Falls, SD 57108
Phone (605) 336-0635
911 E 20th St
Ste 700
Sioux Falls, SD 57105
Phone (605) 322-7300
6100 S Louise Ave
Ste 2100
Sioux Falls, SD 57108
Phone (605) 504-1100
6800 S Louise Ave
Sioux Falls, SD 57108
Phone (605) 322-3278
Interoperability endpoints
- bklinkhammer@urologyspecialists.gwaydirect.com
- benjamin.klinkhammer@avera.sdhealthlink.net
- ben.klinkhammer.p1@direct.urologyspecialists.nextgenshare.com
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
-
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
Hospital & facility affiliations 27
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Dell Rapids, SD
- NPI 1154350064
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1154531630
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1184834764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414540800000",
"number": "1326012121",
"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": "571082424",
"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": "571082424",
"telephone_number": "605-336-0635",
"fax_number": "605-271-0543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLINKHAMMER",
"first_name": "BENJAMIN",
"middle_name": "T",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-16",
"last_updated": "2014-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "SD",
"license": "0579",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SD",
"license": "0579",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6827430",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.