Individual provider Active NPI

Jeremy W. Scott, M.D.

  • Interventional Cardiology Physician
  • Sioux Falls, SD
National Provider Identifier
1629045828
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
8046 Issued in SD
Practice address
4520 W 69TH St
Sioux Falls, SD 57108-8148
Phone
(605) 977-5000
Fax
(605) 977-5377
NPI assigned
Mar 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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 8046 SD Primary
Cardiovascular Disease Physician 207RC0000X 8046 SD

Addresses

Primary practice location

4520 W 69TH St
Sioux Falls, SD 57108-8148

Mailing address

4520 W 69TH St
Sioux Falls, SD 57108-8148
Phone (605) 977-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, SD, IA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20051019000098 MN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1951327907 Reassigns benefits to 1 organization
I20110622000372 SD Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 1951327907 Reassigns benefits to 5 organizations
I20110912000119 IA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Other (Physician) 1951327907 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Sanford School of Medicine of University of South Dakota, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart Hospital of South Dakota LLCGroup PAC ID 5799777249, 66 clinicians

Practice addresses (Care Compare)

1101 9TH St SE
NCH Sioux Center Medical Clinic
Sioux Center, IA 51250-2501
Phone (712) 722-2609

116 E 10TH St
Suite 101
Spencer, IA 51301-4365
Phone (712) 264-3500

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

300 S Bruce St
Marshall, MN 56258-1934
Phone (507) 537-9007

4500 W 69TH St
Sioux Falls, SD 57108-8148
Phone (605) 977-7000

4520 W 69TH St
Sioux Falls, SD 57108-8148

Hospital & facility affiliations

  • Avera Heart Hospital of South Dakota Hospital, Sioux Falls, SD, CCN 430095
  • Sioux Center Health Hospital, Sioux Center, IA, CCN 161346
  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016
  • Lakes Regional Healthcare Hospital, Spirit Lake, IA, CCN 160124
  • Spencer Municipal Hospital Hospital, Spencer, IA, CCN 160112

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting112
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8046SDMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Services of Howard County CurrentSince Apr 1, 2022 Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
Avera McKennan CurrentSince Sep 1, 2020 Accepting new patients
Avera McKennan CurrentSince Sep 1, 2020 Accepting new patients
Wagner Community Memorial Hospital CurrentSince May 11, 2022 Accepting new patients
Spencer Municipal Hospital CurrentSince Mar 23, 2021 Accepting new patients
Wagner Community Memorial Hospital CurrentSince May 11, 2022 Accepting new patients
Wagner Community Memorial Hospital Current Accepting new patients
Avera McKennan Current Accepting new patients
Avera Holy Family CurrentSince Feb 4, 2012 Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
Avera Holy Family Current Accepting new patients
Regional Health Services of Howard County CurrentSince Apr 1, 2022 Accepting new patients
Heart Hospital of South Dakota LLC Cardiovascular Disease CurrentSince Dec 23, 2012 Accepting new patients
Avera Holy Family CurrentSince Feb 4, 2012 Accepting new patients
Heart Hospital of South Dakota LLC CurrentSince Dec 23, 2012 Accepting new patients
Spencer Municipal Hospital CurrentSince Mar 23, 2021 Accepting new patients
Mayo Clinic Past Accepting new patients

Locations

235 8th Ave W
Cresco, IA 52136
Phone (319) 547-2101

826 N 8th St
Estherville, IA 51334
Phone (712) 362-2631

926 N 8th St
Estherville, IA 51334
Phone (712) 362-3501

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

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: jeremy.scott@avera.sdhealthlink.net

Organizations & group practices 18

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 18

Hospital & facility affiliations 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1629045828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 W 69TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088148",
            "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",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088148",
            "telephone_number": "605-977-5000",
            "fax_number": "605-977-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JEREMY",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "SD",
            "license": "8046",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SD",
            "license": "8046",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.