Individual provider Active NPI

Fred Clinton Lovrien, MD

  • Nuclear Medicine Physician
  • Sioux Falls, SD
National Provider Identifier
1497751341
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
2292 Issued in SD
Practice address
1205 S Grange Ave
Ste 301
Sioux Falls, SD 57105-0407
Phone
(605) 328-2170
Fax
(605) 328-2171
NPI assigned
Jun 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2292 SD
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 2292 SD
Nuclear Medicine Physician 207U00000X 2292 SD Primary

Addresses

Primary practice location

1205 S Grange Ave
Ste 301
Sioux Falls, SD 57105-0407

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-2170

Other identifiers 1

IdentifierTypeStateIssuer
6620048MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2292SDMDNuclear Medicine Physician
0362SDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DMS Imaging Inc Past Accepting new patients
DMS Imaging 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1497751341",
    "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": "605-328-2170",
            "fax_number": "605-328-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 S GRANGE AVE",
            "address_2": "STE 301",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571050407",
            "telephone_number": "605-328-2170",
            "fax_number": "605-328-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVRIEN",
        "first_name": "FRED",
        "middle_name": "CLINTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SD",
            "license": "2292",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "SD",
            "license": "2292",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "SD",
            "license": "2292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6620048",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.