Active NPI
Raymond H Allen, MD
- Interventional Cardiology Physician
- Sioux Falls, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 1565
- Practice address
- 4520 W 69TH St
Sioux Falls, SD 57108-8148 - Phone
- (605) 977-5000
- NPI assigned
- Oct 10, 2005
- Last updated
- Dec 20, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 1565 | SD | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 1565 | SD |
Addresses
Primary practice location
4520 W 69TH St
Sioux Falls, SD 57108-8148
Mailing address
PO Box 5009
Sioux Falls, SD 57117-5009
Phone (605) 977-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28480 | MN | MD | Clinical Social Worker |
| 1565 | SD | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart Hospital of South Dakota LLC | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Wagner Community Memorial Hospital | Current | Accepting new patients | |
| Avera Gettysburg | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Wagner Community Memorial Hospital | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Wagner Community Memorial Hospital | Current | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
826 N 8th St
Estherville, IA 51334
Phone (712) 362-2631
926 N 8th St
Estherville, IA 51334
Phone (712) 362-3501
116 E 11th St
Ste 101
Spencer, IA 51301
Phone (712) 264-3500
1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164
300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631
606 E Garfield Ave
Ste C
Gettysburg, SD 57442
Phone (605) 765-2273
4500 W 69th St
Sioux Falls, SD 57108
Phone (605) 977-7000
4520 W 69th St
Sioux Falls, SD 57108
Phone (605) 977-5000
Interoperability endpoints
- raymond.allen@avera.sdhealthlink.net
Organizations & group practices 11
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.
-
dba Avera Medical Group Gettysburg
- Internal Medicine Physician
- Gettysburg, SD
- NPI 1366091357
-
dba Avera McKennan Behavioral Health Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
-
dba Avera Heart Hospital of South Dakota LLC
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1023003969
-
- Family Medicine Physician
- Wagner, SD
- NPI 1740306992
-
dba North Central Heart a Division of Avera Heart Hospital
- Cardiovascular Disease Physician
- Sioux Falls, SD
- NPI 1407109705
MN
-
dba Avera Medical Group Estherville
- Clinic/Center
- Estherville, IA
- NPI 1083652887
SD
-
dba Avera Interventional Radiology
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
-
dba Avera Medical Group Infectious Disease Specialists Sioux Falls
- Infectious Disease Physician
- Sioux Falls, SD
- NPI 1508387820
-
- Critical Access Hospital
- Wagner, SD
- NPI 1326030974
-
- Medicare Defined Swing Bed Hospital Unit
- Wagner, SD
- NPI 1629135645
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1396733705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5009",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175009",
"telephone_number": "605-977-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4520 W 69TH ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571088148",
"telephone_number": "605-977-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "RAYMOND",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-10",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "SD",
"license": "1565",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "SD",
"license": "1565",
"primary": false
}
],
"identifiers": [],
"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 Dec 20, 2022; 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.