NPIMap

Individual provider Active NPI

Jerome W Freeman, MD

  • Neurology Physician
  • Sioux Falls, SD
National Provider Identifier
1609899665
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2380 Issued in SD
Practice address
1210 W 18TH St Ste
Ste 100
Sioux Falls, SD 57104-9890
Phone
(605) 312-8500
Fax
(605) 312-8501
NPI assigned
Jul 25, 2006
Last updated
Apr 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2380 SD
Neurology Physician 2084N0400X 2380 SD Primary

Addresses

Primary practice location

1210 W 18TH St Ste
Ste 100
Sioux Falls, SD 57104-9890

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jfreeman4573@direct.sanfordhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, MN2 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
I20070104000132 SD Practitioner - Neurology 6507778388 Reassigns benefits to 2 organizations
I20080118000624 MN Practitioner - NeurologyPractitioner - Internal Medicine 6507778388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Utah School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sanford ClinicGroup PAC ID 0244143824, 268 clinicians
Sanford Medical CenterGroup PAC ID 8325950215, 847 clinicians

Practice addresses (Care Compare)

1210 W 18TH St
Sioux Falls, SD 57104-4650

1301 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-2200

1305 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-7300

20 S Plum St
Vermillion, SD 57069-3346
Phone (605) 677-3700

4405 E 26TH St
Sioux Falls, SD 57103-4187
Phone (605) 332-2883

525 N Foster St
Mitchell, SD 57301-2966
Phone (605) 995-5635

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2380SDMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Internal Medicine CurrentSince Mar 18, 2004 Accepting new patients
Sanford Clinic CurrentSince Jul 15, 2006 Accepting new patients
Sanford Clinic Current Accepting new patients
Sanford Clinic CurrentSince Oct 1, 2012 Accepting new patients
Sanford Clinic CurrentSince Jul 15, 2006 Accepting new patients
Sanford Clinic Current Accepting new patients
Sanford Clinic Past Accepting new patients

Locations

1018 6th Ave
Worthington, MN 56187
Phone (507) 343-6100

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

1210 W 18th St
Ste 100
Sioux Falls, SD 57104
Phone (605) 312-8500

1210 W 18th St
Ste 101
Sioux Falls, SD 57104
Phone (605) 328-8130

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

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

Interoperability endpoints

  • Direct secure messaging: jfreeman4573@direct.sanfordhealth.org

Organizations & group practices 7

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 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1609899665",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 W 18TH ST STE",
            "address_2": "STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571049890",
            "telephone_number": "605-312-8500",
            "fax_number": "605-312-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "JEROME",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SD",
            "license": "2380",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SD",
            "license": "2380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfreeman4573@direct.sanfordhealth.org",
            "affiliation": "N",
            "address_1": "1210 W 18th St Ste",
            "address_2": "Ste 100",
            "city": "Sioux Falls",
            "state": "SD",
            "country_code": "US",
            "postal_code": "571049890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.