NPIMap

Individual provider Active NPI

Steven D Sachs, PA

  • Medical Physician Assistant
  • Rapid City, SD
National Provider Identifier
1427111749
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0407 Issued in SD
Practice address
2822 Jackson Blvd
Suite 101
Rapid City, SD 57702-3497
Phone
(605) 341-1208
Fax
(605) 341-3552
NPI assigned
Dec 18, 2006
Last updated
Jan 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0407 SD Primary

Addresses

Primary practice location

2822 Jackson Blvd
Suite 101
Rapid City, SD 57702-3497

Mailing address

2822 Jackson Blvd
Suite 101
Rapid City, SD 57702-3497
Phone (605) 341-1208

Other identifiers 2

IdentifierTypeStateIssuer
0001972OtherSDWELLMARK
6826190MedicaidSD

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
I20130829000885 SD Practitioner - Physician Assistant 6002948791 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Black Hills Surgical Hospital LLCGroup PAC ID 5496742835, 173 clinicians
Creekside Medical Clinic Prof LLCGroup PAC ID 2062693799, 6 clinicians

Practice addresses (Care Compare)

216 Anamaria Dr
Rapid City, SD 57701-7366
Phone (605) 791-7777

2822 Jackson Blvd
Suite 101
Rapid City, SD 57702-3497
Phone (605) 341-1208

2822 Jackson Rd
Suite 101
Rapid City, SD 57702-3497

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10723MNMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Black Hills Orthopedic & Spine Center, Inc. CurrentSince Aug 29, 2025 Accepting new patients

Locations

2822 Jackson Blvd
Ste 101
Rapid City, SD 57702
Phone (605) 341-1208

7220 Mount Rushmore Rd
Rapid City, SD 57702
Phone (605) 737-9144

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71180

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1427111749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2822 JACKSON BLVD",
            "address_2": "SUITE 101",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023497",
            "telephone_number": "605-341-1208",
            "fax_number": "605-341-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2822 JACKSON BLVD",
            "address_2": "SUITE 101",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023497",
            "telephone_number": "605-341-1208",
            "fax_number": "605-341-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACHS",
        "first_name": "STEVEN",
        "middle_name": "D",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SD",
            "license": "0407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "0001972",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6826190",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.