Active NPI
Wade E Dosch, M.D.
- Surgery Physician
- Sioux Falls, SD
National Provider Identifier
1578508784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4616
- Practice address
- 1200 S 7TH Ave
Sioux Falls, SD 57105-0900 - Phone
- (605) 336-2140
- NPI assigned
- Jun 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4616 | SD | Primary |
Addresses
Primary practice location
1200 S 7TH Ave
Sioux Falls, SD 57105-0900
Mailing address
PO Box 86430
Sioux Falls, SD 57118-6430
Phone (605) 322-4900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7301692 | Medicaid | SD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Sanford School of Medicine of University of South Dakota, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 E 23Rd St
Suite 360
Sioux Falls, SD 57105-2140
Phone (605) 322-3950
Hospital & facility affiliations
- Avera McKennan Hospital & University Health Center
- Sioux Falls Specialty Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 57 |
| Hernia repair - groin (open) | 18 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 17 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4616 | SD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Surgery | Current | Accepting new patients |
| Avera McKennan | Current | Accepting new patients |
Locations
1417 S Cliff Ave
Ste 401
Sioux Falls, SD 57105
Phone (605) 322-8920
1200 S 7th Ave
Sioux Falls, SD 57105
Phone (605) 336-2140
1000 E 23rd St
Ste 360
Sioux Falls, SD 57105
Phone (605) 322-3950
Interoperability endpoints
- wade.dosch@avera.sdhealthlink.net
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
-
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
Hospital & facility affiliations 24
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1154531630
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1184834764
-
- Endocrinology, Diabetes & Metabolism Physician
- Sioux Falls, SD
- NPI 1396711016
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650240000000",
"number": "1578508784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 86430",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571186430",
"telephone_number": "605-322-4900",
"fax_number": "605-322-4910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 S 7TH AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571050900",
"telephone_number": "605-336-2140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOSCH",
"first_name": "WADE",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-19",
"last_updated": "2022-04-18",
"certification_date": "2022-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SD",
"license": "4616",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7301692",
"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 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.