Active NPI
Michael D Hibbard, MD
- Cardiovascular Disease Physician
- Sioux Falls, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 3566
- Practice address
- 4520 W 69TH St
North Central Heart Institute
Sioux Falls, SD 57108-8148 - Phone
- (605) 977-5000
- Fax
- (605) 977-5377
- NPI assigned
- May 4, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 3566 | SD | |
| Cardiovascular Disease Physician | 207RC0000X | 3566 | SD | Primary |
Addresses
Primary practice location
4520 W 69TH St
North Central Heart Institute
Sioux Falls, SD 57108-8148
Mailing address
PO Box 5009
Sioux Falls, SD 57117-5009
Phone (605) 977-5000
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0003875 | Other | SD | SD BCBS |
| 165026 | Other | UCARE | |
| 2997700 | Medicaid | IA | |
| 6002593 | Medicaid | SD | |
| 24678 | Other | HEALTH PARTNERS | |
| 7D930HI | Other | MN | MN BCBS - PLAN 91057NO |
| 052307100 | Medicaid | MN | |
| 538R9HI | Other | MN | MN BCBS - PLAN 538R2NO |
| 3566 | Other | SD | DAKOTACARE |
| 53990 | Other | IA | IA BCBS |
| 931451029034 | Other | PREFERRED ONE |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart Hospital of South Dakota LLC | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Wagner Community Memorial Hospital | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Spencer Municipal Hospital | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Wagner Community Memorial Hospital | Current | Accepting new patients | |
| Avera Holy Family | Current | Accepting new patients | |
| Spencer Municipal Hospital | Current | Accepting new patients | |
| Avera Gettysburg | Current | Accepting new patients | |
| Wagner Community Memorial Hospital | Current | Accepting new patients |
Locations
926 N 8th St
Estherville, IA 51334
Phone (712) 362-3501
826 N 8th St
Estherville, IA 51334
Phone (712) 362-2631
116 E 11th St
Ste 101
Spencer, IA 51301
Phone (712) 264-3500
1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164
300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631
606 E Garfield Ave
Ste C
Gettysburg, SD 57442
Phone (605) 765-2273
4500 W 69th St
Sioux Falls, SD 57108
Phone (605) 977-7000
4520 W 69th St
Sioux Falls, SD 57108
Phone (605) 977-5000
Interoperability endpoints
- michael.hibbard@avera.sdhealthlink.net
Organizations & group practices 13
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.
-
- Internal Medicine Physician
- Gettysburg, SD
- NPI 1366091357
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1023003969
-
- Family Medicine Physician
- Wagner, SD
- NPI 1740306992
-
- Cardiovascular Disease Physician
- Sioux Falls, SD
- NPI 1407109705
-
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
-
- Hospitalist Physician
- Sioux Falls, SD
- NPI 1083972160
-
- Critical Access Hospital
- Wagner, SD
- NPI 1326030974
-
- Medicare Defined Swing Bed Hospital Unit
- Wagner, SD
- NPI 1629135645
-
- Critical Access Hospital
- Estherville, IA
- NPI 1508810177
-
- Orthopaedic Surgery Physician
- Spencer, IA
- NPI 1316432826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1629026422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5009",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175009",
"telephone_number": "605-977-5000",
"fax_number": "605-977-5377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4520 W 69TH ST",
"address_2": "NORTH CENTRAL HEART INSTITUTE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571088148",
"telephone_number": "605-977-5000",
"fax_number": "605-977-5377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIBBARD",
"first_name": "MICHAEL",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "SD",
"license": "3566",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "SD",
"license": "3566",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SD BCBS",
"identifier": "0003875",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "165026",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2997700",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6002593",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "24678",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN BCBS - PLAN 91057NO",
"identifier": "7D930HI",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "052307100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN BCBS - PLAN 538R2NO",
"identifier": "538R9HI",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAKOTACARE",
"identifier": "3566",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IA BCBS",
"identifier": "53990",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "931451029034",
"state": null
}
],
"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 Aug 18, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.