NPIMap

Individual provider Active NPI

Troy N Thompson, PA-C

  • Physician Assistant
  • Rapid City, SD
National Provider Identifier
1407222367
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0981 Issued in SD
Practice address
353 Fairmont Blvd
Rapid City, SD 57701
Phone
(605) 755-8222
Fax
(605) 719-4203
NPI assigned
Aug 14, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0981 SD Primary

Addresses

Primary practice location

353 Fairmont Blvd
Rapid City, SD 57701

Mailing address

PO Box 912882
Denver, CO 80291-2882
Phone (866) 765-0909

Other practice location 1

2116 Jackson Blvd
Rapid City, SD 57702-4386
Phone (605) 755-2273

Other practice location 2

2116 Jackson Blvd
Rapid City, SD 57702-4386
Phone (605) 755-2273

Other identifiers 3

IdentifierTypeStateIssuer
1407222367MedicaidCO
1407222367MedicaidND
1407222367MedicaidSD

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
I20150915002877 SD Practitioner - Physician Assistant 5991012544 Reassigns benefits to 3 organizations
Practice locations: Rapid City, SD

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

353 Fairmont Blvd
Rapid City, SD 57701-7375

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0981SDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Avera St Marys CurrentSince Mar 1, 2022 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Aug 1, 2015 Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Aug 1, 2015 Accepting new patients
Monument Health Network, Inc. CurrentSince May 9, 2017 Accepting new patients
Monument Health Network, Inc. CurrentSince May 9, 2017 Accepting new patients
Right Path Health and Wellness PLLC Current Accepting new patients
Addiction Recovery Centers of the Black Hills PastSince Jul 5, 2024 Accepting new patients
Stephen Tamang MD Consulting Schangervices PC PastSince Dec 6, 2022 Accepting new patients

Locations

2116 Jackson Blvd
Rapid City, SD 57702
Phone (605) 755-3300

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000

Interoperability endpoints

  • Direct secure messaging: tthompson.9331@regionalhealth.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 and National Provider Directory roles.

Hospital & facility affiliations 12

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": "1439510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1407222367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 912882",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802912882",
            "telephone_number": "866-765-0909",
            "fax_number": "855-856-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 FAIRMONT BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "57701",
            "telephone_number": "605-755-8222",
            "fax_number": "605-719-4203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2116 Jackson Blvd",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "577024386",
            "country_code": "US",
            "telephone_number": "605-755-2273",
            "fax_number": "605-755-0707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2116 Jackson Blvd",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "577024386",
            "country_code": "US",
            "telephone_number": "605-755-2273",
            "fax_number": "605-755-0707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TROY",
        "middle_name": "N",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-14",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407222367",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407222367",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407222367",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.