Jamie Kathryn Baden-Miles, MD
Individual provider Active NPI Family Medicine Physician · Sioux Falls, SD
NPI 1467072082 · NPPES record last updated Nov 6, 2023
Key facts
- NPI
- 1467072082
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 14675 (SD)
- Practice address
- 2100 S Marion Rd
Sioux Falls, SD 57106-3646 - Phone
- (605) 322-1010
- Fax
- (605) 322-1011
- NPI assigned
- Apr 23, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 26
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Avera McKennan
Practice addresses (Care Compare)
2100 S Marion Rd
Sioux Falls, SD 57106-3646
Phone (605) 322-5180
Hospital & facility affiliations
- Avera @ Home
- Avera @ Home
- Avera McKennan Hospital & University Health Center
- Avera Prince of Peace
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231102002817 | SD | Practitioner - Family Practice | 9234554346 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14675 | SD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current |
Accepting new patients | |
| Avera McKennan | Family Medicine | Current |
Accepting new patients |
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Past | Accepting new patients |
Locations
2100 S Marion Rd
Sioux Falls, SD 57106
Phone (605) 322-1010
1200 S 7th Ave
Sioux Falls, SD 57105
Phone (605) 336-2140
Interoperability endpoints
- jamie.badenmiles@avera.sdhealthlink.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 14675 | SD | Yes |
Addresses
Primary practice location
2100 S Marion Rd
Sioux Falls, SD 57106-3646
Mailing address
1200 S 7TH Ave
Sioux Falls, SD 57105-0998
Phone (605) 504-5400
Other providers in Sioux Falls, SD
- Austin Backer
- Courtney Backer
- Dawn Lynette Backer
- Shannon Lynn Backstrom
- Ross Noel Bacon
- Brooklyne Bader
- Dylan Daniel Bader
- Faith Bader
- Melissa Bader
- Maaz Bin Badshah
All providers in Sioux Falls, SD · Family Medicine Physician in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.