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Individual provider Active NPI

Mark Thomas Vercel, D.O.

  • Rheumatology Physician
  • Sioux Falls, SD
National Provider Identifier
1386902450
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
11620 Issued in SD
Practice address
6100 S Louise Ave Ste 1130
Sioux Falls, SD 57108-6030
Phone
(605) 504-1600
Fax
(605) 504-1601
NPI assigned
Apr 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 11620 SD Primary

Addresses

Primary practice location

6100 S Louise Ave Ste 1130
Sioux Falls, SD 57108-6030

Mailing address

6100 S Louise Ave Ste 1130
Sioux Falls, SD 57108-6030
Phone (605) 504-1600

Other practice location 1

761 45th Ave
Ste. 103
Munster, IN 46321-2893
Phone (219) 922-3002

Other identifiers 1

IdentifierTypeStateIssuer
M47140248OtherINMEDICARE PTAN

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
I20191107003087 SD Practitioner - Rheumatology 6204124076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Midwestern University, Chicago College of Osteopathic Med, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

6100 S Louise Ave
Sioux Falls, SD 57108-6029

6100 S Louise Ave
Suite 1110
Sioux Falls, SD 57108-6030
Phone (605) 322-6700

6100 S Louise Ave
Suite 1130
Sioux Falls, SD 57108-6021
Phone (605) 504-1600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11620SDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan Rheumatology CurrentSince Sep 16, 2019 Accepting new patients
Avera McKennan CurrentSince Sep 16, 2019 Accepting new patients
Avera McKennan Current Accepting new patients

Locations

6100 S Louise Ave
Ste 1130
Sioux Falls, SD 57108
Phone (605) 504-1600

Interoperability endpoints

  • Direct secure messaging: mark.vercel@avera.sdhealthlink.net

Organizations & group practices 3

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 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1386902450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 S LOUISE AVE STE 1130",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571086030",
            "telephone_number": "605-504-1600",
            "fax_number": "605-504-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 S LOUISE AVE STE 1130",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571086030",
            "telephone_number": "605-504-1600",
            "fax_number": "605-504-1601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "761 45th Ave",
            "address_2": "Ste. 103",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463212893",
            "country_code": "US",
            "telephone_number": "219-922-3002",
            "fax_number": "219-922-3003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERCEL",
        "first_name": "MARK",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-26",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "SD",
            "license": "11620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "M47140248",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.