Active NPI
Alissa Jo Brummond, MD
- Internal Medicine Physician
- Sioux Falls, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 9223
- Practice address
- 6100 S Louise Ave Ste 1120
Sioux Falls, SD 57108-6021 - Phone
- (605) 504-1700
- NPI assigned
- Jun 14, 2011
- Last updated
- Oct 31, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9223 | SD | Primary |
| Internal Medicine Physician | 207R00000X | 55227 | MN |
Addresses
Primary practice location
6100 S Louise Ave Ste 1120
Sioux Falls, SD 57108-6021
Mailing address
PO Box 86370
Sioux Falls, SD 57118-6370
Phone (605) 322-7510
Other practice location 1
1301 S. Cliff Ave.
Ste. 400
Sioux Falls, SD 57105-1023
Phone (605) 322-5750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01165231 | Other | MN | RAILROAD MEDICARE |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Minnesota Medical School, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1301 S Cliff Ave
Sioux Falls, SD 57105-1023
1325 S Cliff Ave
Sioux Falls, SD 57105-1007
1600 S Highline Ave
Sioux Falls, SD 57110-1008
1600 S Highline Ave
Suite 310
Sioux Falls, SD 57110-1007
Phone (605) 322-7600
4400 W 69TH St
Suite 500
Sioux Falls, SD 57108-8171
Phone (605) 322-7580
4500 S Prince of Peace PL
Sioux Falls, SD 57103-5830
Phone (605) 322-5600
4500 W 69TH St
Sioux Falls, SD 57108-8148
Phone (605) 322-9777
4513 S Prince of Peace PL
Sioux Falls, SD 57103-5830
Phone (605) 322-5600
4520 W 69TH St
Sioux Falls, SD 57108-8148
Phone (605) 977-5000
6100 S Louise Ave
Sioux Falls, SD 57108-6029
6100 S Louise Ave
Suite 1130
Sioux Falls, SD 57108-6021
Phone (605) 504-1600
Hospital & facility affiliations
- Avera @ Home
- Aveanna Home Health
- Avera @ Home
- Avera McKennan Hospital & University Health Center
- Avera Heart Hospital of South Dakota
- Sanford Usd Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55227 | MN | MD | Internal Medicine Physician |
| 9223 | SD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Internal Medicine | Current | Accepting new patients |
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Internal Medicine | Current | Accepting new patients |
| Avera McKennan | Past | Accepting new patients |
Locations
1301 S Cliff Ave
Ste 400
Sioux Falls, SD 57105
Phone (605) 322-5750
6100 S Louise Ave
Ste 1120
Sioux Falls, SD 57108
Phone (605) 504-1700
Interoperability endpoints
- alissa.brummond@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.
-
dba Avera McKennan Behavioral Health Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
-
dba Avera Interventional Radiology
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
-
dba Avera Medical Group Health Care Clinic Sioux Falls
- Internal Medicine Physician
- Sioux Falls, SD
- NPI 1083894067
-
dba Avera Internal Medicine
- Internal Medicine Physician
- Sioux Falls, SD
- NPI 1770558405
-
dba Avera McKennan Hospital and University Health Center
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1568460772
Hospital & facility affiliations 31
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Sioux Falls, SD
- NPI 1467474239
-
dba Avera Medical Group Urogynecology Sioux Falls
- Obstetrics & Gynecology Physician
- Sioux Falls, SD
- NPI 1003188269
Hospital
-
dba Avera Medical Group Rheumatology Sioux Falls
- Rheumatology Physician
- Sioux Falls, SD
- NPI 1013177393
Hospital
-
dba Avera Medical Group University Psychiatry Associates Sioux Falls
- Psychiatry Physician
- Sioux Falls, SD
- NPI 1013980598
Hospital
-
dba Avera Medical Group Orthopedics and Sports Medicine
- Orthopaedic Surgery Physician
- Sioux Falls, SD
- NPI 1093262131
Hospital
-
dba Avera Medical Group Brain and Spine Institute
- Neurological Surgery Physician
- Sioux Falls, SD
- NPI 1114113693
Hospital
-
dba Avera Medical Group Physical Medicine and Rehabilitation Sioux Falls
- Physical Medicine & Rehabilitation Physician
- Sioux Falls, SD
- NPI 1134195332
Hospital
-
dba Avera McKennan Hospital and University Health Center - Diabetic Ed
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1154531630
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1184834764
-
dba Avera Gastroenterology Sioux Falls
- Gastroenterology Physician
- Sioux Falls, SD
- NPI 1194799882
Hospital
-
dba Avera Medical Group Womens Health Specialists Sioux Falls
- Obstetrics & Gynecology Physician
- Sioux Falls, SD
- NPI 1336111962
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572480000000",
"number": "1336434737",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 S LOUISE AVE STE 1120",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571086021",
"telephone_number": "605-504-1700"
}
],
"practiceLocations": [
{
"address_1": "1301 S. Cliff Ave.",
"address_2": "Ste. 400",
"address_purpose": "LOCATION",
"city": "Sioux Falls",
"state": "SD",
"postal_code": "571051023",
"country_code": "US",
"telephone_number": "605-322-5750",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUMMOND",
"first_name": "ALISSA",
"middle_name": "JO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-14",
"last_updated": "2019-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SD",
"license": "9223",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "55227",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01165231",
"state": "MN"
}
],
"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 31, 2019; 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.