Patrick L Retterath, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

2779 Issued in SD

Practice address

1512 4TH St NE
Watertown, SD 57201-6824

Phone

(605) 884-0100

NPI assigned

Jun 20, 2006

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Innovative Procedural Center LLC

  • Ambulatory Surgical Clinic/Center
  • Watertown, SD
  • NPI 1184660151
  NPD
• Affiliated Community Medical Centers, LTD

  • Multi-Specialty Clinic/Center
  • Willmar, MN
  • NPI 1952363699
  NPD
• Carris Health LLC

  • Multi-Specialty Clinic/Center
  • Willmar, MN
  • NPI 1598236408
  NPD
• Watertown Anesthesia PC

  • Anesthesiology Physician
  • Watertown, SD
  • NPI 1215941117
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1376588434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 MICKELSON DR STE 2",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572017253",
            "telephone_number": "605-882-0432",
            "fax_number": "605-882-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 4TH ST NE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572016824",
            "telephone_number": "605-884-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETTERATH",
        "first_name": "PATRICK",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "SD",
            "license": "2779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4995672",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5700375",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5700374",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014226300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cindy Reichling, RN
• Daniel H Reiffenberger, MD
• Sarah A Reiffenberger, MD
• Nancy K Reishus, CNP
• Remedy Anesthesia Services, PLLC
• Megan Rice, RN
• Danny D Rickard, PA
• Gerald M Rieber, MD
• Josslyn Rieffenberger
• Julia Grace Rieffenberger, D.C.

• Pain Medicine (Anesthesiology) Physician in Watertown, SD
• Providers in Watertown, SD by specialty
• Pain Medicine (Anesthesiology) Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.