Individual provider Active NPI

Elizabeth Hultgren, MD, PHD

  • Obstetrics & Gynecology Physician
  • Sioux Falls, SD
National Provider Identifier
1407207244
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
7807 Issued in NE
Practice address
1500 W 22ND St Ste 301
Sioux Falls, SD 57105-1503
Phone
(605) 328-7700
Fax
(605) 328-7775
NPI assigned
Jun 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 7807 NE Primary

Addresses

Primary practice location

1500 W 22ND St Ste 301
Sioux Falls, SD 57105-1503

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other practice location 1

983255 Nebraska Medical Ctr
Omaha, NE 68198-3255
Phone (605) 559-6160

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address edavis5408696@direct.sanfordhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200901002596 SD Practitioner - Obstetrics/Gynecology 3678868940 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical CenterGroup PAC ID 8325950215, 847 clinicians

Practice addresses (Care Compare)

1301 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-2200

1305 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-7300

1500 W 22ND St
Sioux Falls, SD 57105-1503

4405 E 26TH St
Sioux Falls, SD 57103-4187
Phone (605) 332-2883

5019 S Western Ave
Suite 200
Sioux Falls, SD 57108-5155
Phone (605) 328-9700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
78.77
Promoting interoperability
100
Improvement activities
40
Cost
70.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Clinic CurrentSince Aug 10, 2020 Accepting new patients
Sanford Clinic CurrentSince Aug 10, 2020 Accepting new patients
Sanford Clinic Current Accepting new patients
Sanford Medical Center Obstetrics & Gynecology CurrentSince Aug 10, 2020 Accepting new patients
Sanford Medical Center Past Accepting new patients

Locations

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

1500 W 22nd St
Ste 102
Sioux Falls, SD 57105
Phone (605) 328-8800

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

1500 W 22nd St
Ste 301
Sioux Falls, SD 57105
Phone (605) 328-7700

Organizations & group practices 5

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1407207244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W 22ND ST STE 301",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051503",
            "telephone_number": "605-328-7700",
            "fax_number": "605-328-7775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "983255 Nebraska Medical Ctr",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681983255",
            "country_code": "US",
            "telephone_number": "605-559-6160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HULTGREN",
        "first_name": "ELIZABETH",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2023-01-10",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NE",
            "license": "7807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edavis5408696@direct.sanfordhealth.org",
            "affiliation": "N",
            "address_1": "1500 W 22nd St Ste 301",
            "city": "Sioux Falls",
            "state": "SD",
            "country_code": "US",
            "postal_code": "571051503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.