Active NPI
John Jerstad, MD
- Emergency Medicine Physician
- Sioux Falls, SD
National Provider Identifier
1356365597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 3448
- Practice address
- 4500 W 69TH St
Sioux Falls, SD 57108-8148 - Phone
- (307) 635-5393
- Fax
- (307) 635-2199
- NPI assigned
- Jul 27, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 3448 | SD | Primary |
Addresses
Primary practice location
4500 W 69TH St
Sioux Falls, SD 57108-8148
Mailing address
PO Box 20190
Cheyenne, WY 82003-7004
Phone (307) 635-5393
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3448 | Other | SD | DAKOTA CARE |
| 0007856 | Other | SD | WELLMARK |
| 6003932 | Medicaid | SD |
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
- Sanford School of Medicine of University of South Dakota, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 22ND Ave
Brookings, SD 57006-2480
Phone (605) 692-6351
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Brookings | Current | Accepting new patients | |
| Emergency Medical Physicians P C | Emergency Medicine | Past | Accepting new patients |
Locations
400 22nd Ave
Brookings, SD 57006
Phone (605) 692-6236
300 22nd Ave
Brookings, SD 57006
Phone (605) 692-6351
Interoperability endpoints
- john.jerstad@brookingshealth.sdhealthlink.net
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Brookings, SD
- NPI 1932281029
-
- General Practice Physician
- Sioux Falls, SD
- NPI 1831110949
Emergency Medicine
Hospital & facility affiliations 32
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1154531630
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1184834764
-
- Endocrinology, Diabetes & Metabolism Physician
- Sioux Falls, SD
- NPI 1396711016
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356365597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20190",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820037004",
"telephone_number": "307-635-5393",
"fax_number": "307-635-2199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 W 69TH ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571088148",
"telephone_number": "307-635-5393",
"fax_number": "307-635-2199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JERSTAD",
"first_name": "JOHN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SD",
"license": "3448",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAKOTA CARE",
"identifier": "3448",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "0007856",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6003932",
"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 Jul 8, 2007; 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.