NPIMap

Individual provider Active NPI

Abrea Ann Roark, M.D.

  • Obstetrics & Gynecology Physician
  • Sioux Falls, SD
National Provider Identifier
1508156613
Registry record updated Dec 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
108245 Issued in MN
Practice address
1500 W 22ND St Ste 301
Sioux Falls, SD 57105
Phone
(605) 328-7700
NPI assigned
Apr 10, 2011
Last updated
Dec 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 108245 MN Primary

Addresses

Primary practice location

1500 W 22ND St Ste 301
Sioux Falls, SD 57105

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 333-1000

Other practice location 1

1217 8th St N
New Ulm, MN 56073-1552
Phone (507) 217-5011 ext. 75249

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, SD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150706001629 MN Practitioner - Obstetrics/Gynecology 9234441262 Reassigns benefits to 2 organizations
I20171010001031 SD Practitioner - Obstetrics/Gynecology 9234441262 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Sanford School of Medicine of University of South Dakota, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical CenterGroup PAC ID 8325950215, 847 clinicians

Practice addresses (Care Compare)

5019 S Western Ave
Suite 200
Sioux Falls, SD 57108-5155
Phone (605) 328-9700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
75.87
Promoting interoperability
100
Improvement activities
40
Cost
68.53

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
78.77
Promoting interoperability
100
Improvement activities
40
Cost
70.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Clinic CurrentSince Aug 28, 2017 Accepting new patients
Sanford Health Network Obstetrics & Gynecology CurrentSince Nov 10, 2018 Accepting new patients
Sanford Medical Center Obstetrics & Gynecology CurrentSince Aug 28, 2017 Accepting new patients
Sanford Clinic CurrentSince Aug 28, 2017 Accepting new patients
Sanford Clinic Current Accepting new patients
Sanford Health Network Current Accepting new patients
Sanford Health Network CurrentSince Nov 10, 2018 Accepting new patients
Sanford Health Network Current Accepting new patients
Sanford Clinic Past Accepting new patients
Sanford Clinic Past Accepting new patients
Sanford Medical Center Past Accepting new patients

Locations

1600 N Kniss Ave
Luverne, MN 56156
Phone (507) 283-2321

1601 Sioux Valley Dr
Luverne, MN 56156
Phone (507) 283-4476

1500 W 22nd St
Ste 102
Sioux Falls, SD 57105
Phone (605) 328-8800

1500 W 22nd St
Ste 301
Sioux Falls, SD 57105
Phone (605) 328-7700

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

5019 S Western Ave
Ste 200
Sioux Falls, SD 57108
Phone (605) 328-9700

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1302393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546214400000",
    "number": "1508156613",
    "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": "605-333-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W 22ND ST STE 301",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57105",
            "telephone_number": "605-328-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1217 8th St N",
            "address_purpose": "LOCATION",
            "city": "New Ulm",
            "state": "MN",
            "postal_code": "560731552",
            "country_code": "US",
            "telephone_number": "507-217-5011 x75249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROARK",
        "first_name": "ABREA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-10",
        "last_updated": "2018-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MN",
            "license": "108245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.