Raymond H Allen, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

1565 Issued in SD

Practice address

4520 W 69TH St
Sioux Falls, SD 57108-8148

Phone

(605) 977-5000

NPI assigned

Oct 10, 2005

Sex

Male

Sole proprietor

No

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.

• Avera Gettysburg

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  • NPI 1366091357

  SD

  Medicare reassignment NPD
• Avera McKennan

  • Mental Health Clinic/Center (Including Community Mental Health Center)
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  SD

  Medicare reassignment NPD
• Heart Hospital of South Dakota LLC

  • General Acute Care Hospital
  • Sioux Falls, SD
  • NPI 1023003969

  SD

  Medicare reassignment NPD
• Wagner Community Memorial Hospital

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  • Wagner, SD
  • NPI 1740306992

  SD

  Medicare reassignment NPD
• Heart Hospital of South Dakota LLC

  • Cardiovascular Disease Physician
  • Sioux Falls, SD
  • NPI 1407109705

  MN, SD

  Medicare reassignment
• Avera Holy Family

  • Clinic/Center
  • Estherville, IA
  • NPI 1083652887

  SD

  Medicare reassignment
• Avera McKennan

  • Diagnostic Radiology Physician
  • Sioux Falls, SD
  • NPI 1053680678
  NPD
• Avera McKennan

  • Infectious Disease Physician
  • Sioux Falls, SD
  • NPI 1508387820
  NPD
• Wagner Community Memorial Hospital

  • Critical Access Hospital
  • Wagner, SD
  • NPI 1326030974
  NPD
• Wagner Community Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Wagner, SD
  • NPI 1629135645
  NPD
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in SD, MN2 enrollments

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: raymond.allen@avera.sdhealthlink.net

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 20, 2022.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6001940",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "24680",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BCBS - PLAN 91057NO",
            "identifier": "1M495AL",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "1565",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0931972",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "925590700",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "931451029027",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BCBS - PLAN 538R2NO",
            "identifier": "538R7AL",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SD BCBS",
            "identifier": "0000537",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "120334",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IA BCBS",
            "identifier": "53984",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Paul Allen, D.C.
• Dustin James Allen
• Emily Ann Allen, PA
• Ireland Rachae Allen
• Jo Dee Allen, PT, DPT
• Richard Dwight Allen, D.D.S.
• Ann Rachelle Allender, O.T.
• Alexandria Naomi Allison, AUD
• Jay R Allison, MD
• Farah Mazin Ahmad Almudallal

• All providers in Sioux Falls, SD
• Interventional Cardiology Physician in South Dakota

• 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.

Verify at the official NPI Registry.