Individual provider Active NPI

Michael D Hibbard, MD

  • Cardiovascular Disease Physician
  • Sioux Falls, SD
National Provider Identifier
1629026422
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
3566 Issued in SD
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

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0003875OtherSDSD BCBS
165026OtherUCARE
2997700MedicaidIA
6002593MedicaidSD
24678OtherHEALTH PARTNERS
7D930HIOtherMNMN BCBS - PLAN 91057NO
052307100MedicaidMN
538R9HIOtherMNMN BCBS - PLAN 538R2NO
3566OtherSDDAKOTACARE
53990OtherIAIA BCBS
931451029034OtherPREFERRED 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100105000005 SD Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Peripheral Vascular DiseasePractitioner - Other (Physician)Practitioner - Interventional Cardiology 0244247377 Reassigns benefits to 6 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Hospital of South Dakota LLC CurrentSince Dec 23, 2012 Accepting new patients
Avera McKennan Current Accepting new patients
Wagner Community Memorial Hospital Current Accepting new patients
Avera McKennan CurrentSince Sep 1, 2020 Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
Avera McKennan CurrentSince Sep 1, 2020 Accepting new patients
Wagner Community Memorial Hospital CurrentSince Mar 2, 2022 Accepting new patients
Avera Holy Family Current Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
Avera Gettysburg CurrentSince Mar 9, 2024 Accepting new patients
Wagner Community Memorial Hospital CurrentSince Mar 2, 2022 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

  • Direct secure messaging: 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.

View all 13

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

Verify at the official NPI Registry.