NPIMap

Individual provider Active NPI

Kenneth M Scott, MD

  • Otolaryngology Physician
  • Sioux Falls, SD
National Provider Identifier
1437187630
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
5965 Issued in SD
Practice address
2315 W 57TH St
Sioux Falls, SD 57108-5046
Phone
(605) 336-3503
Fax
(605) 336-6010
NPI assigned
Jun 28, 2006
Last updated
Jan 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 5965 SD Primary

Addresses

Primary practice location

2315 W 57TH St
Sioux Falls, SD 57108-5046

Mailing address

2315 W 57TH Street
Sioux Falls, SD 57108-6406
Phone (605) 336-3503

Other identifiers 11

IdentifierTypeStateIssuer
1437187630OtherSDAETNA
721560818022OtherSDAMERICA'S PPO/ARAZ
4993557OtherSDWELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA
OT742SCOtherMNBLUE CROSS BLUE SHIELD OF MINNESOTA
6520490MedicaidSD
36376OtherSDSANFORD HEALTH PLAN
9214052OtherSDDAKOTACARE
1000817OtherSDMEDICA
10024989000MedicaidNE
473L8SCOtherSDBLUE CROSS BLUE SHIELD OF MINNESOTA
HP3956OtherSDHEALTHPARTNERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, SD, IA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040624000737 MN Practitioner - Otolaryngology 8628061892 Reassigns benefits to 1 organization
I20070523000304 SD Practitioner - Otolaryngology 8628061892 Reassigns benefits to 1 organization
I20081017000352 IA Practitioner - Otolaryngology 8628061892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midwest Ear, Nose and Throat Associates P CGroup PAC ID 8729990940, 15 clinicians

Practice addresses (Care Compare)

1202 21St Ave
Rock Valley, IA 51247-1420
Phone (712) 476-8000

1216 Ryans Rd
Worthington, MN 56187-1722
Phone (605) 336-3503

2301 Hwy 71
Spirit Lake, IA 51360-1253
Phone (712) 336-3750

2315 W 57TH St
Sioux Falls, SD 57108-5046
Phone (605) 336-3503

916 4TH Ave SW
Pipestone, MN 56164-1890
Phone (605) 336-3503

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alluma, Inc. Past Accepting new patients

Organizations & group practices 2

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 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1437187630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 W 57TH STREET",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571086406",
            "telephone_number": "605-336-3503",
            "fax_number": "605-336-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 W 57TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085046",
            "telephone_number": "605-336-3503",
            "fax_number": "605-336-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KENNETH",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "SD",
            "license": "5965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1437187630",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICA'S PPO/ARAZ",
            "identifier": "721560818022",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA",
            "identifier": "4993557",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MINNESOTA",
            "identifier": "OT742SC",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6520490",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANFORD HEALTH PLAN",
            "identifier": "36376",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "9214052",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "1000817",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10024989000",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MINNESOTA",
            "identifier": "473L8SC",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP3956",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.