Amit Jain, MD
Individual provider Active NPI Pediatric Pulmonology Physician · Sioux Falls, SD
NPI 1497080873 · NPPES record last updated Jun 13, 2023
Key facts
- NPI
- 1497080873
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Pulmonology Physician 2080P0214X
- License
- 9674 (SD)
- Practice address
- 1600 W 22ND St
Sioux Falls, SD 57105-1521 - Phone
- (605) 312-1000
- NPI assigned
- Oct 2, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
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 |
|---|---|---|---|---|
| I20160817002635 | SD | Practitioner - Pediatric Medicine | 1153616933 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9674 | SD | MD | Pediatric Pulmonology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Clinic | Current |
Accepting new patients | |
| Sanford Clinic | Current |
Accepting new patients | |
| Sanford Clinic | Current | Accepting new patients | |
| Sanford Medical Center | Current |
Accepting new patients | |
| Sanford Clinic | Past | Accepting new patients |
Locations
525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000
4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000
1600 W 22nd St
Sioux Falls, SD 57105
Phone (605) 312-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Pulmonology Physician | 2080P0214X | 9674 | SD | Yes |
Addresses
Primary practice location
1600 W 22ND St
Sioux Falls, SD 57105-1521
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6585
NPI Registry JSON
{
"created_epoch": "1254441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686614400000",
"number": "1497080873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074",
"telephone_number": "605-328-6585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W 22ND ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051521",
"telephone_number": "605-312-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAIN",
"first_name": "AMIT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-02",
"last_updated": "2023-06-13",
"certification_date": "2023-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "SD",
"license": "9674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sioux Falls, SD
- Travis Cory Jacobson
- Lindsey Jader
- Jemal Hashim Jafer
- Nalini Jagram-Payer
- Matthew Don Jahraus
- Gaurav Jain
- Rashmi Jain
- Ismail Jama
- James David Dorman DC PC
- Claudia Ann James-Little
All providers in Sioux Falls, SD · Pediatric Pulmonology 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 Jun 13, 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.