NPIMap

Individual provider Active NPI

Nicholas F Kaufman, M.D.

  • Internal Medicine Physician
  • Sioux Falls, SD
National Provider Identifier
1629497615
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12645 Issued in SD
Practice address
6100 S Louise Ave Ste 1120
Sioux Falls, SD 57108-6030
Phone
(605) 504-1700
Fax
(605) 504-1701
NPI assigned
Apr 7, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101259040 VA
Internal Medicine Physician 207R00000X 12645 SD Primary

Addresses

Primary practice location

6100 S Louise Ave Ste 1120
Sioux Falls, SD 57108-6030

Mailing address

6100 S Louise Ave Ste 1120
Sioux Falls, SD 57108-6030
Phone (605) 504-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210818002732 SD Practitioner - Internal Medicine 7911200449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Sanford School of Medicine of University of South Dakota, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1301 S Cliff Ave
Sioux Falls, SD 57105-1023

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

1600 S Highline Ave
Sioux Falls, SD 57110-1008

1600 S Highline Ave
Suite 310
Sioux Falls, SD 57110-1007
Phone (605) 322-7600

4400 W 69TH St
Suite 500
Sioux Falls, SD 57108-8171
Phone (605) 322-7580

4500 S Prince of Peace PL
Sioux Falls, SD 57103-5830
Phone (605) 322-5600

4500 W 69TH St
Sioux Falls, SD 57108-8148
Phone (605) 322-9777

4513 S Prince of Peace PL
Sioux Falls, SD 57103-5830
Phone (605) 322-5600

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

6100 S Louise Ave
Sioux Falls, SD 57108-6029

6100 S Louise Ave
Suite 1130
Sioux Falls, SD 57108-6021
Phone (605) 504-1600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan Current Accepting new patients
Avera McKennan CurrentSince Aug 16, 2021 Accepting new patients
Avera McKennan Internal Medicine CurrentSince Aug 16, 2021 Accepting new patients

Locations

1301 S Cliff Ave
Ste 400
Sioux Falls, SD 57105
Phone (605) 322-5750

6100 S Louise Ave
Ste 1120
Sioux Falls, SD 57108
Phone (605) 504-1700

Interoperability endpoints

  • Direct secure messaging: nicholas.kaufman@avera.sdhealthlink.net

Organizations & group practices 3

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 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1629497615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 S LOUISE AVE STE 1120",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571086030",
            "telephone_number": "605-504-1700",
            "fax_number": "605-504-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 S LOUISE AVE STE 1120",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571086030",
            "telephone_number": "605-504-1700",
            "fax_number": "605-504-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "NICHOLAS",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-07",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101259040",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SD",
            "license": "12645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.