NPIMap

Individual provider Active NPI

Nathan Thomas Jaqua, M.D.

  • Gastroenterology Physician
  • Rapid City, SD
National Provider Identifier
1376863738
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
11149 Issued in SD
Practice address
2820 Mount Rushmore Rd
Rapid City, SD 57701-5462
Phone
(605) 342-3280
NPI assigned
Jun 8, 2010
Sex
Male
Sole proprietor
No

Organizations & group practices 6

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.

Hospital & facility affiliations 22

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

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Sanford School of Medicine of University of South Dakota, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Black Hills Surgical Hospital LLC 173 clinicians

Practice addresses (Care Compare)

216 Anamaria Dr
Rapid City, SD 57701-7366
Phone (605) 791-7777

3024 Tower Rd
Rapid City, SD 57701-5392
Phone (605) 508-3000

Hospital & facility affiliations

  • Monument Health Rapid City Hospital Hospital, Rapid City, SD, CCN 430077
  • Black Hills Surgical Hospital LLC Hospital, Rapid City, SD, CCN 430091
  • Monument Health Spearfish Hospital Hospital, Spearfish, SD, CCN 430048
  • Monument Health Custer Hospital Hospital, Custer, SD, CCN 431323

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy178
Upper gastrointestinal (GI) endoscopy for acid reflux353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20170901003194 GA Practitioner - Gastroenterology 3476792615
I20190117003708 SD Practitioner - Gastroenterology 3476792615 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tift Regional Health System Inc CurrentSince May 22, 2017 Accepting new patients
Tift Regional Health System Inc CurrentSince May 22, 2017 Accepting new patients
Rapid City Medical Center, LLP Current Accepting new patients

Locations

2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

907 18th St E
Ste 150
Tifton, GA 31794
Phone (229) 353-3422

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

2820 Mount Rushmore Rd
#0
Rapid City, SD 57701

2820 Mount Rushmore Rd
Rapid City, SD 57701
Phone (605) 721-8121

Interoperability endpoints

  • Direct secure messaging: nathan.jaqua@rcmc.eclinicaldirectplus.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 11149 SD Primary

Addresses

NPPES NPI Registry

Primary practice location

2820 Mount Rushmore Rd
Rapid City, SD 57701-5462

Mailing address

PO Box 6020
Rapid City, SD 57709-6020
Phone (605) 342-3280

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 11, 2025.

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1376863738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6020",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577096020",
            "telephone_number": "605-342-3280",
            "fax_number": "605-721-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 MOUNT RUSHMORE RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577015462",
            "telephone_number": "605-342-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAQUA",
        "first_name": "NATHAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-08",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SD",
            "license": "11149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.