Individual provider Active NPI

Michael P Stotz, DO

  • Family Medicine Physician
  • Sioux Falls, SD
National Provider Identifier
1407082860
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8492 Issued in SD
Practice address
1035 S Highline PL
Sioux Falls, SD 57110-1000
Phone
(605) 322-2925
Fax
(605) 322-2926
NPI assigned
May 29, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 8492 SD Primary

Addresses

Primary practice location

1035 S Highline PL
Sioux Falls, SD 57110-1000

Mailing address

1200 S 7TH Ave
Sioux Falls, SD 57105-0900
Phone (605) 504-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, IA2 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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120910000149 SD Practitioner - Family Practice 3779766852 Reassigns benefits to 1 organization
I20130213000086 IA Practitioner - Family Practice 3779766852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, shared by 52 NPIs, 957 clinicians

Practice addresses (Care Compare)

1200 S 7TH Ave
Sioux Falls, SD 57105-0900
Phone (605) 336-2140

1600 S Highline Ave
Sioux Falls, SD 57110-1008

1600 S Highline Ave
Suite 310
Sioux Falls, SD 57110-1007
Phone (605) 322-7600

916 Holder St
Larchwood, IA 51241-7796
Phone (712) 477-2185

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan Current Accepting new patients
Avera McKennan Family Medicine CurrentSince Sep 4, 2012 Accepting new patients
Avera McKennan Current Accepting new patients

Locations

1600 S Highline Ave
Ste 200
Sioux Falls, SD 57110
Phone (605) 504-5720

1035 S Highline Pl
Sioux Falls, SD 57110
Phone (605) 322-2925

1200 S 7th Ave
Sioux Falls, SD 57105
Phone (605) 336-2140

Interoperability endpoints

  • Direct secure messaging: michael.stotz@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 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1407082860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S 7TH AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571050900",
            "telephone_number": "605-504-5400",
            "fax_number": "605-504-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 S HIGHLINE PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571101000",
            "telephone_number": "605-322-2925",
            "fax_number": "605-322-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOTZ",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-29",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "8492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.