Individual provider Active NPI

Lukas Dean Rohde, PA

  • Physician Assistant
  • Vermillion, SD
National Provider Identifier
1326725839
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1495 Issued in SD
Practice address
20 S Plum St
Vermillion, SD 57069-3346
Phone
(605) 677-3700
NPI assigned
Jun 28, 2023
Last updated
Dec 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 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 1495 SD Primary

Addresses

Primary practice location

20 S Plum St
Vermillion, SD 57069-3346

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other practice location 1

1101 9th St SE
Sioux Center, IA 51250-2501
Phone (712) 722-2609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240110000840 SD Practitioner - Physician Assistant 1456702802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Health NetworkGroup PAC ID 6800707100, 357 clinicians

Practice addresses (Care Compare)

20 S Plum St
Vermillion, SD 57069-3346
Phone (605) 624-9111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1495SDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network Physician Assistant CurrentSince Jan 22, 2024 Accepting new patients
Sanford Health Network CurrentSince Jan 22, 2024 Accepting new patients
Sioux Center Health Past Accepting new patients
Sanford Clinic Past Accepting new patients

Locations

20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611

Interoperability endpoints

  • Direct secure messaging: lukas.rohde@avera.sdhealthlink.net

Organizations & group practices 5

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 2

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": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1326725839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S PLUM ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570693346",
            "telephone_number": "605-677-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 9th St SE",
            "address_purpose": "LOCATION",
            "city": "Sioux Center",
            "state": "IA",
            "postal_code": "512502501",
            "country_code": "US",
            "telephone_number": "712-722-2609",
            "fax_number": "712-722-8426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROHDE",
        "first_name": "LUKAS",
        "middle_name": "DEAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "1495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vermillion, SD

Sources for this page

Verify at the official NPI Registry.