Michael R Birgenheir, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1012584 Issued in NE

Practice address

814 Jackson St
Burke, SD 57523-0358

Phone

(605) 775-2361

NPI assigned

Jun 5, 2006

Last updated

Apr 18, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Physician Assistant

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Black Hills Surgical Hospital LLCGroup PAC ID 5496742835, 173 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Black Hills Surgical Hospital LLC Hospital, Rapid City, SD, CCN 430091

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Black Hills Surgical Hospital, LLC

  dba Black Hills Surgical Hospital

  • Orthopaedic Surgery Physician
  • Rapid City, SD
  • NPI 1336009646
  Medicare reassignment Care Compare group
• Black Hills Surgical Hospital, LLC

  • Anesthesiology Physician
  • Rapid City, SD
  • NPI 1972630275
  NPD
• Black Hills Surgical Hospital, LLC

  dba Black Hills Urgent Care

  • Urgent Care Clinic/Center
  • Rapid City, SD
  • NPI 1124385554
  NPD (past)
• Black Hills Surgical Hospital, LLP

  dba West River Ear, Nose, and Throat

  • Surgery Physician
  • Rapid City, SD
  • NPI 1417304924
  NPD (past)

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

• Black Hills Surgical Hospital, LLC

  • Special Hospital
  • Rapid City, SD
  • NPI 1679535132
  Care Compare affiliation

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1346289568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 JACKSON ST",
            "city": "BURKE",
            "state": "SD",
            "postal_code": "575230358",
            "telephone_number": "605-775-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 JACKSON ST",
            "city": "BURKE",
            "state": "SD",
            "postal_code": "575230358",
            "telephone_number": "605-775-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRGENHEIR",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1012584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "4997170",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIOUX VALLEY",
            "identifier": "27748",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NE MEDICAID",
            "identifier": "505068706",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6823712",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Anderson
• Lesley Lynn Atkins, MSW, CSW-PIP
• Nancy Benter
• Tony L Berg, MD
• Burke Ambulance Service Inc
• Burke Ambulance Service, Inc.
• Burke Community Pharmacy
• Mary S Carpenter, MD
• Community Memorial Hospital

• Physician Assistant in Burke, SD
• Providers in Burke, SD by specialty
• Physician Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.

Verify at the official NPI Registry.