Active NPI
Michael D Gillett, M.D.
- Urology Physician
- Sioux Falls, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 43656
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0749101 | Medicaid | IA | |
| P00337027 | Other | SD | RAILROAD MEDICARE |
| 7500490 | Medicaid | SD | |
| 165167600 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Chartered
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
- Sanford Usd Medical Center
- Sioux Falls Specialty Hospital
- Avera Marshall Regional Medical Ctr
- Avera Queen of Peace
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Murray | Current | Accepting new patients | |
| Usc Ambulatory Surgical Center Prof LLC | Current | Accepting new patients | |
| Avera Marshall | Current | Accepting new patients | |
| County of Murray | Current | Accepting new patients | |
| Avera Marshall | Current | 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
- michael.gillett.p1@direct.urologyspecialists.nextgenshare.com
- mgillett@urologyspecialists.gwaydirect.com
- 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.
-
- Ambulatory Surgical Clinic/Center
- Sioux Falls, SD
- NPI 1518129576
-
- Optometrist
- Windom, MN
- NPI 1083925366
-
- Optometrist
- Marshall, MN
- NPI 1487422465
Hospital & facility affiliations 29
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- 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": "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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.