Individual provider Active NPI

Michael D Gillett, M.D.

  • Urology Physician
  • Sioux Falls, SD
National Provider Identifier
1619954542
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
43656 Issued in MN
Practice address
201 W 69TH St
Sioux Falls, SD 57108-2403
Phone
(605) 336-0635
Fax
(605) 271-0543
NPI assigned
Dec 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 43656 MN Primary
Urology Physician 208800000X 5878 SD

Addresses

Primary practice location

201 W 69TH St
Sioux Falls, SD 57108-2403

Mailing address

201 W 69TH St
Sioux Falls, SD 57108-2403
Phone (605) 336-0635

Other identifiers 4

IdentifierTypeStateIssuer
0749101MedicaidIA
P00337027OtherSDRAILROAD MEDICARE
7500490MedicaidSD
165167600MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, SD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041027001033 MN Practitioner - Urology 3375505886 Reassigns benefits to 3 organizations
I20060811000075 SD Practitioner - Urology 3375505886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Specialists CharteredGroup PAC ID 9234031329, 47 clinicians

Practice addresses (Care Compare)

201 W 69TH St
Sioux Falls, SD 57108-2403
Phone (605) 336-0635

Hospital & facility affiliations

  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016
  • Sanford Usd Medical Center Hospital, Sioux Falls, SD, CCN 430027
  • Sioux Falls Specialty Hospital Hospital, Sioux Falls, SD, CCN 430090
  • Avera Marshall Regional Medical Ctr Hospital, Marshall, MN, CCN 241359
  • Avera Queen of Peace Hospital, Mitchell, SD, CCN 431340

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Murray CurrentSince Jul 8, 2023 Accepting new patients
Usc Ambulatory Surgical Center Prof LLC CurrentSince Jul 28, 2008 Accepting new patients
Avera Marshall CurrentSince Aug 1, 2015 Accepting new patients
County of Murray Current Accepting new patients
Avera Marshall CurrentSince Aug 1, 2015 Accepting new patients
Avera Marshall Current Accepting new patients

Locations

300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631

2042 Juniper Ave
Slayton, MN 56172
Phone (507) 836-1227

1325 S Cliff Ave
Sioux Falls, SD 57105
Phone (605) 322-5000

201 W 69th St
Sioux Falls, SD 57108
Phone (605) 336-0635

Interoperability endpoints

  • Direct secure messaging: michael.gillett.p1@direct.urologyspecialists.nextgenshare.com
  • Direct secure messaging: mgillett@urologyspecialists.gwaydirect.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1619954542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W 69TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082403",
            "telephone_number": "605-336-0635",
            "fax_number": "605-271-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W 69TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082403",
            "telephone_number": "605-336-0635",
            "fax_number": "605-271-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLETT",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MN",
            "license": "43656",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SD",
            "license": "5878",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0749101",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00337027",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7500490",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165167600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.