Active NPI
Kelly R Rafferty, M.D.
- Family Medicine Physician
- Yankton, SD
National Provider Identifier
1609911098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4270
- Practice address
- 1000 W 4TH St
Suite 15
Yankton, SD 57078-3730 - Phone
- (605) 665-0555
- Fax
- (605) 665-4498
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4270 | SD | Primary |
Addresses
Primary practice location
1000 W 4TH St
Suite 15
Yankton, SD 57078-3730
Mailing address
1000 W 4TH St
Suite 15
Yankton, SD 57078-3730
Phone (605) 665-0555
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
- Family Practice
- Education
- Sanford School of Medicine of University of South Dakota, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1000 W 4TH St
Suite 15
Yankton, SD 57078-3700
Phone (605) 665-0555
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Medicine Clinic of Yankton Professional LLC | Family Medicine | Current | Accepting new patients |
| Sacred Heart Health Services | Past | Accepting new patients |
Locations
1000 W 4th St
Ste 15
Yankton, SD 57078
Phone (605) 665-0555
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.
-
- Family Medicine Physician
- Yankton, SD
- NPI 1811088727
-
- General Practice Physician
- Yankton, SD
- NPI 1205703659
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Hospice and Palliative Medicine (Anesthesiology) Physician
- Yankton, SD
- NPI 1740783463
Hospital
-
- Rural Acute Care Hospital
- Yankton, SD
- NPI 1770693954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609911098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 W 4TH ST",
"address_2": "SUITE 15",
"city": "YANKTON",
"state": "SD",
"postal_code": "570783730",
"telephone_number": "605-665-0555",
"fax_number": "605-665-4498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W 4TH ST",
"address_2": "SUITE 15",
"city": "YANKTON",
"state": "SD",
"postal_code": "570783730",
"telephone_number": "605-665-0555",
"fax_number": "605-665-4498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAFFERTY",
"first_name": "KELLY",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SD",
"license": "4270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yankton, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.