Individual provider Active NPI

John Saratial Misdary, MD

  • Emergency Medicine Physician
  • Rapid City, SD
National Provider Identifier
1669559233
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
12190 Issued in SD
Practice address
353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone
(605) 755-8222
Fax
(605) 755-4203
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X ME111957 FL
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X 12190 SD
Emergency Medicine Physician 207P00000X 12190 SD Primary

Addresses

Primary practice location

353 Fairmont Blvd
Rapid City, SD 57701-7375

Mailing address

PO Box 3037
Indianapolis, IN 46206-3037
Phone (866) 765-0909

Other practice location 1

1717 S. Orange Ave., Suite 100
Nemours Childrens Clinic, Orlando
Orlando, FL 32806-2946
Phone (407) 650-7715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL, SD, NC, ND, TX6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20090714000339 GA Practitioner - Emergency Medicine 1456403914 Reassigns benefits to 1 organization
I20120413000446 FL Practitioner - Emergency Medicine 1456403914 Reassigns benefits to 1 organization
I20230515001521 SD Practitioner - Emergency Medicine 1456403914 Reassigns benefits to 2 organizations
I20230605000642 NC Practitioner - Emergency Medicine 1456403914 Reassigns benefits to 1 organization
I20250619001312 ND Practitioner - Emergency Medicine 1456403914 Reassigns benefits to 4 organizations
I20250716000641 TX Practitioner - Emergency Medicine 1456403914 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Northeastern Ohio University College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Texas - Houston, PLLCGroup PAC ID 2860881125, 19 clinicians
Hospitalist Medicine Physicians of Texas - Cypress PLLCGroup PAC ID 5799217451, 27 clinicians

Practice addresses (Care Compare)

2601 Dimmitt Rd
Plainview, TX 79072-1833
Phone (806) 296-5531

504 Lipscomb St
Bonham, TX 75418-4028
Phone (903) 583-8585

Hospital & facility affiliations

  • CHI St Alexius Health Williston Hospital, Williston, ND, CCN 351334
  • CHI St Alexius Health Dickinson Hospital, Dickinson, ND, CCN 351336
  • Covenant Hospital Plainview Hospital, Plainview, TX, CCN 450539

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.16 of 100Reported as group
Quality
99.03
Improvement activities
40
Cost
78.09

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12190SDMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Observation Medical Group LLC Emergency Medicine CurrentSince Jan 1, 2021 Accepting new patients
Sound Physicians Emergency Medicine of Texas PLLC Emergency Medicine CurrentSince May 20, 2025 Accepting new patients
Monument Health Network, Inc. Emergency Medicine CurrentSince Aug 17, 2023 Accepting new patients
Monument Health Network, Inc. Current Accepting new patients
Hospitalist Medicine Physicians of Texas - Houston, PLLC Emergency Medicine CurrentSince May 20, 2025 Accepting new patients
Mercy Medical Center Current Accepting new patients
Hospitalist Medicine Physicians of Georgia-TCG, PC Emergency Medicine CurrentSince Aug 7, 2025 Accepting new patients
Sylva Emergency Group LLC Emergency Medicine CurrentSince Apr 24, 2023 Accepting new patients
Observation Medical Group LLC Emergency Medicine CurrentSince Jan 1, 2021 Accepting new patients
Mercy Medical Center Current Accepting new patients
Mercy Home Care CurrentSince Jun 1, 2025 Accepting new patients
Monument Health Network, Inc CurrentSince Aug 27, 2024 Accepting new patients
Mercy Medical Center CurrentSince Jun 1, 2025 Accepting new patients
Hospitalist Medicine Physicians of Texas - Cypress PLLC CurrentSince Jun 1, 2025 Accepting new patients
Florida Em-I Medical Services PA Emergency Medicine Past Accepting new patients
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer SCRN Ctr Inc Past Accepting new patients
Chestatee Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Past Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine Past Accepting new patients
North Georgia Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Best Care Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200

3369 Solutions Ctr
Chicago, IL 60677

200 Corporate Blvd
Ste 201
Lafayette, LA 70508

68 Hospital Rd
Sylva, NC 28779
Phone (828) 586-7351

1301 15th Ave W
Williston, ND 58801
Phone (701) 774-7400

1213 15th Ave W
Williston, ND 58801
Phone (701) 572-7641

1220 Montgomery St
Custer, SD 57730
Phone (605) 673-4150

1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

504 Lipscomb St
Bonham, TX 75418
Phone (903) 583-8585

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

4002 24th St
Lubbock, TX 79410
Phone (806) 300-3229

3640 Hampton Dr
Missouri City, TX 77459
Phone (281) 778-5144

2601 Dimmitt Rd
Plainview, TX 79072
Phone (806) 296-4282

1498 Pacific Ave
Ste 500
Tacoma, WA 98402
Phone (253) 682-6040

Organizations & group practices 24

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 24

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1669559233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3037",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462063037",
            "telephone_number": "866-765-0909",
            "fax_number": "855-856-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 FAIRMONT BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017375",
            "telephone_number": "605-755-8222",
            "fax_number": "605-755-4203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 S. Orange Ave., Suite 100",
            "address_2": "Nemours Childrens Clinic, Orlando",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328062946",
            "country_code": "US",
            "telephone_number": "407-650-7715",
            "fax_number": "407-650-7124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISDARY",
        "first_name": "JOHN",
        "middle_name": "SARATIAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "FL",
            "license": "ME111957",
            "primary": false
        },
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "SD",
            "license": "12190",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SD",
            "license": "12190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.