Individual provider Active NPI

Brandon S. Fites

  • Orthopaedic Surgery Physician
  • Aberdeen, SD
National Provider Identifier
1427077106
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
8006 Issued in SD
Practice address
701 8TH Ave NW Ste a
Aberdeen, SD 57401-1865
Phone
(605) 226-2663
Fax
(605) 226-0095
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 8006 SD Primary

Addresses

Primary practice location

701 8TH Ave NW Ste a
Aberdeen, SD 57401-1865

Mailing address

PO Box 1460
Aberdeen, SD 57402-1460
Phone (605) 226-2663

Other identifiers 1

IdentifierTypeStateIssuer
6402570MedicaidSD

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
I20110721000224 SD Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 9638172679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Indiana University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera St LukesGroup PAC ID 6406764927, 164 clinicians

Practice addresses (Care Compare)

305 S State St
Aberdeen, SD 57401-4527
Phone (605) 622-5100

701 8TH Ave NW
Aberdeen, SD 57401-1865

8 E US Hwy 12
Groton, SD 57445-2176
Phone (605) 397-4242

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8006SDMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera St. Luke'S CurrentSince Jan 31, 2014 Accepting new patients
Avera St. Luke'S Current Accepting new patients
Avera St. Lukes CurrentSince Jan 31, 2014 Accepting new patients
Sumter Orthopaedic Associates, LLC Orthopaedic Surgery Past Accepting new patients

Locations

701 8th Ave NW
Ste A
Aberdeen, SD 57401

Interoperability endpoints

  • Direct secure messaging: brandon.fites@avera.sdhealthlink.net

Organizations & group practices 4

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 4

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1427077106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1460",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574021460",
            "telephone_number": "605-226-2663",
            "fax_number": "605-226-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 8TH AVE NW STE A",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574011865",
            "telephone_number": "605-226-2663",
            "fax_number": "605-226-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITES",
        "first_name": "BRANDON",
        "middle_name": "S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SD",
            "license": "8006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6402570",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.