Individual provider Active NPI

Chris C Krouse, DO

  • Orthopaedic Surgery Physician
  • Mitchell, SD
National Provider Identifier
1508870619
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
5883 Issued in SD
Practice address
625 N Foster St
Suite 107
Mitchell, SD 57301-2969
Phone
(605) 996-3963
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X 5883 SD
Orthopaedic Surgery Physician 207X00000X 5883 SD Primary

Addresses

Primary practice location

625 N Foster St
Suite 107
Mitchell, SD 57301-2969

Mailing address

625 N Foster St
Suite 200
Mitchell, SD 57301-2969
Phone (605) 996-3963

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060928000115 SD Practitioner - Orthopedic Surgery 4486607660 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera Queen of PeaceGroup PAC ID 9335050806, shared by 12 NPIs, 122 clinicians

Practice addresses (Care Compare)

110 S Logan Ave
Suite a
Gregory, SD 57533-1614
Phone (605) 835-8394

525 N Foster St
Mitchell, SD 57301-2966
Phone (605) 995-2234

601 E 7TH St
Platte, SD 57369-2123

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5883SDMDSports Medicine (Neuromusculoskeletal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera Queen of Peace Current Accepting new patients
Avera Queen of Peace CurrentSince Jul 9, 2007 Accepting new patients
Avera Queen of Peace Current Accepting new patients
Avera Queen of Peace CurrentSince Jul 9, 2007 Accepting new patients

Locations

625 N Foster St
Ste 200
Mitchell, SD 57301
Phone (605) 996-1800

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

625 N Foster St
Ste 107
Mitchell, SD 57301
Phone (605) 995-6350

601 E 7th St
Ste 3
Platte, SD 57369
Phone (605) 337-2633

Interoperability endpoints

  • Direct secure messaging: chris.krouse@avera.sdhealthlink.net

Organizations & group practices 4

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 6

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1508870619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 N FOSTER ST",
            "address_2": "SUITE 200",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573012969",
            "telephone_number": "605-996-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N FOSTER ST",
            "address_2": "SUITE 107",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573012969",
            "telephone_number": "605-996-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROUSE",
        "first_name": "CHRIS",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "SD",
            "license": "5883",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SD",
            "license": "5883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchell, SD

Sources for this page

Verify at the official NPI Registry.