NPIMap

Individual provider Active NPI

John Kenneth Tronnes, MD

  • Family Medicine Physician
  • Deadwood, SD
National Provider Identifier
1356795108
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12422 Issued in SD
Practice address
71 Charles St
Deadwood, SD 57732-1303
Phone
(605) 717-6431
NPI assigned
Apr 18, 2016
Last updated
May 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X 63131 MN
Family Medicine Physician 207Q00000X 12422 SD Primary

Addresses

Primary practice location

71 Charles St
Deadwood, SD 57732-1303

Mailing address

71 Charles St
Deadwood, SD 57732-1303
Phone (605) 717-6431

Other practice location 1

1900 Centracare Cir
Saint Cloud, MN 56303-5000
Phone (320) 229-5099

Other practice location 2

110 1st St S
Sauk Rapids, MN 56379
Phone (320) 253-5220

Other practice location 3

130 1st St NE
Richmond, MN 56368-8183
Phone (320) 597-2122

Other practice location 4

1555 Northway Dr Ste 200
Saint Cloud, MN 56303-4913
Phone (320) 240-3157

Other practice location 5

200 W 1st St
Paynesville, MN 56362-1445
Phone (320) 243-3767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210524001438 SD Practitioner - Family PracticePractitioner - Emergency Medicine 1759662166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of North Dakota School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monument Health Network IncGroup PAC ID 5991616427, 163 clinicians

Practice addresses (Care Compare)

2140 Junction Ave
Sturgis, SD 57785-2358
Phone (605) 720-2400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
63131MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Network, Inc. Family Medicine CurrentSince May 1, 2021 Accepting new patients
Monument Health Network, Inc. CurrentSince May 1, 2021 Accepting new patients
Monument Health Network, Inc. Current Accepting new patients
Queen City Regional Medical Clinic Past Accepting new patients
Monument Health Network, Inc. Past Accepting new patients

Locations

61 Charles St
Deadwood, SD 57732
Phone (605) 717-6000

2140 Junction Ave
Sturgis, SD 57785
Phone (605) 720-2400

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 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1356795108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 CHARLES ST",
            "city": "DEADWOOD",
            "state": "SD",
            "postal_code": "577321303",
            "telephone_number": "605-717-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 CHARLES ST",
            "city": "DEADWOOD",
            "state": "SD",
            "postal_code": "577321303",
            "telephone_number": "605-717-6431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Centracare Cir",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "563035000",
            "country_code": "US",
            "telephone_number": "320-229-5099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 1st St S",
            "address_purpose": "LOCATION",
            "city": "Sauk Rapids",
            "state": "MN",
            "postal_code": "56379",
            "country_code": "US",
            "telephone_number": "320-253-5220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 1st St NE",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "MN",
            "postal_code": "563688183",
            "country_code": "US",
            "telephone_number": "320-597-2122",
            "fax_number": "320-597-2102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1555 Northway Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "563034913",
            "country_code": "US",
            "telephone_number": "320-240-3157",
            "fax_number": "320-240-3164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 W 1st St",
            "address_purpose": "LOCATION",
            "city": "Paynesville",
            "state": "MN",
            "postal_code": "563621445",
            "country_code": "US",
            "telephone_number": "320-243-3767",
            "fax_number": "320-243-3174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRONNES",
        "first_name": "JOHN",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-18",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "63131",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "12422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deadwood, SD

Sources for this page

Verify at the official NPI Registry.