NPIMap

Individual provider Active NPI

Dayana Del Carmen Maita Coronel, MD

  • Infectious Disease Physician
  • Sioux Falls, SD
National Provider Identifier
1447697693
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
11374 Issued in SD
Practice address
6709 S Minnesota Ave Ste 102
Sioux Falls, SD 57108-2593
Phone
(605) 322-7250
Fax
(605) 322-7251
NPI assigned
May 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 11374 SD Primary

Addresses

Primary practice location

6709 S Minnesota Ave Ste 102
Sioux Falls, SD 57108-2593

Mailing address

6709 S Minnesota Ave Ste 102
Sioux Falls, SD 57108-2593
Phone (605) 322-7250

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
I20190917004184 SD Practitioner - Infectious Disease 9638467707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians
St Michael'S Hospital, Inc.Group PAC ID 2668380262, shared by 6 NPIs, 16 clinicians

Practice addresses (Care Compare)

110 S Logan Ave
Suite a
Gregory, SD 57533-1614
Phone (605) 835-9611

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

305 S State St
Aberdeen, SD 57401-4527
Phone (605) 622-5500

410 W 16TH Ave
Tyndall, SD 57066-2318
Phone (605) 589-2158

4500 W 69TH St
Sioux Falls, SD 57108-8148
Phone (605) 322-9777

4520 W 69TH St
Sioux Falls, SD 57108-8148
Phone (605) 977-5000

501 Summit St
Yankton, SD 57078-3855
Phone (605) 668-8000

6100 S Louise Ave
Sioux Falls, SD 57108-6029

6709 S Minnesota Ave
Suite 102
Sioux Falls, SD 57108-2593
Phone (605) 322-7250

801 E Sioux Ave
Pierre, SD 57501-3323
Phone (605) 322-6930

901 E Virgil Ave
Milbank, SD 57252-2124
Phone (605) 432-4538

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11374SDMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Jul 31, 2019 Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan CurrentSince Jul 31, 2019 Accepting new patients

Locations

6709 S Minnesota Ave
Ste 102
Sioux Falls, SD 57108
Phone (605) 322-7250

Interoperability endpoints

  • Direct secure messaging: dayana.maitacoronel@avera.sdhealthlink.net

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 and National Provider Directory roles.

Hospital & facility affiliations 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1447697693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6709 S MINNESOTA AVE STE 102",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082593",
            "telephone_number": "605-322-7250",
            "fax_number": "605-322-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6709 S MINNESOTA AVE STE 102",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082593",
            "telephone_number": "605-322-7250",
            "fax_number": "605-322-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAITA CORONEL",
        "first_name": "DAYANA",
        "middle_name": "DEL CARMEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-29",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "SD",
            "license": "11374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.