NPIMap

Individual provider Active NPI

Demetre P Skliris, MD

  • Family Medicine Physician
  • Sioux Falls, SD
National Provider Identifier
1447441647
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8179 Issued in SD
Practice address
4011 W Benson Rd
Sioux Falls, SD 57107-0104
Phone
(605) 322-1500
Fax
(605) 322-1510
NPI assigned
Aug 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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 8179 SD Primary

Addresses

Primary practice location

4011 W Benson Rd
Sioux Falls, SD 57107-0104

Mailing address

1200 S 7TH Ave
Sioux Falls, SD 57105-0900
Phone (605) 782-8305

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
I20111031000099 SD Practitioner - Family Practice 3779767603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

111 10TH St E
Dell Rapids, SD 57022-1217
Phone (605) 428-5446

1200 S 7TH Ave
Sioux Falls, SD 57105-0900
Phone (605) 336-2140

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Oct 1, 2011 Accepting new patients
Avera McKennan CurrentSince Oct 1, 2011 Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan Past Accepting new patients

Locations

111 E 10th St
Dell Rapids, SD 57022
Phone (605) 428-5446

4011 W Benson Rd
Sioux Falls, SD 57107
Phone (605) 322-1500

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

Interoperability endpoints

  • Direct secure messaging: demetre.skliris@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.

  • Avera McKennan

    dba Avera McKennan Behavioral Health Clinic

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Sioux Falls, SD
    • NPI 1699009944
    Medicare reassignment Care Compare group NPD
  • Avera McKennan

    dba Avera Interventional Radiology

    • Diagnostic Radiology Physician
    • Sioux Falls, SD
    • NPI 1053680678
    NPD
  • Avera McKennan

    dba Moody County Public Health

    • Public Health or Welfare Agency
    • Flandreau, SD
    • NPI 1760681175
    NPD
  • Avera McKennan

    dba Milbank Area Hospital After Hours Clinic

    • Critical Access Hospital Clinic/Center
    • Milbank, SD
    • NPI 1013024009
    NPD (past)

Hospital & facility affiliations 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1447441647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S 7TH AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571050900",
            "telephone_number": "605-782-8305",
            "fax_number": "605-336-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 W BENSON RD",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571070104",
            "telephone_number": "605-322-1500",
            "fax_number": "605-322-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKLIRIS",
        "first_name": "DEMETRE",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "8179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.