Individual provider Active NPI

Robert Wenger, M.D.

  • Family Medicine Physician
  • Sioux Falls, SD
National Provider Identifier
1417984048
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2217 Issued in SD
Practice address
1200 S 7TH Ave
Ste2
Sioux Falls, SD 57105-0998
Phone
(605) 336-2140
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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 2217 SD Primary

Addresses

Primary practice location

1200 S 7TH Ave
Ste2
Sioux Falls, SD 57105-0998

Mailing address

PO Box 86430
Sioux Falls, SD 57118-6430
Phone (605) 322-4900

Other identifiers 1

IdentifierTypeStateIssuer
5609442MedicaidSD

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
I20051213000658 SD Practitioner - Family Practice 5193612075 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monument Health Network IncGroup PAC ID 5991616427, 163 clinicians

Practice addresses (Care Compare)

1420 N 10TH St
Spearfish, SD 57783-1532
Phone (605) 717-8595

Hospital & facility affiliations

  • Monument Health Spearfish Hospital Hospital, Spearfish, SD, CCN 430048

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2217SDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Network, Inc. Family Medicine CurrentSince May 27, 2025 Accepting new patients
Monument Health Network, Inc. CurrentSince May 27, 2025 Accepting new patients
Monument Health Network, Inc. Current Accepting new patients
Avera McKennan CurrentSince Dec 31, 2005 Accepting new patients
Avera McKennan Family Medicine CurrentSince Dec 31, 2005 Accepting new patients
Avera McKennan Current Accepting new patients

Locations

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

1200 S 7th Ave
Ste 2
Sioux Falls, SD 57105
Phone (605) 336-2140

1420 N 10th St
Spearfish, SD 57783
Phone (605) 642-8414

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

Interoperability endpoints

  • Direct secure messaging: robert.wenger@avera.sdhealthlink.net

Organizations & group practices 6

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 7

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1417984048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86430",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571186430",
            "telephone_number": "605-322-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S 7TH AVE",
            "address_2": "STE2",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571050998",
            "telephone_number": "605-336-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENGER",
        "first_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "2217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5609442",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.