NPIMap

Individual provider Active NPI

Hassan Mehmood, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Sioux Falls, SD
National Provider Identifier
1669823670
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
12586 Issued in SD
Practice address
1315 S Cliff Ave Ste 3000
Sioux Falls, SD 57105-1061
Phone
(605) 322-7600
Fax
(605) 322-7601
NPI assigned
Jun 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 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 MT211637 PA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 12586 SD Primary

Addresses

Primary practice location

1315 S Cliff Ave Ste 3000
Sioux Falls, SD 57105-1061

Mailing address

1315 S Cliff Ave Ste 3000
Sioux Falls, SD 57105-1061
Phone (605) 322-7600

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
I20210714000112 SD Practitioner - Endocrinology 0042504417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Faulkton Area Medical CenterGroup PAC ID 4880505866, shared by 3 NPIs, 10 clinicians
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1300 Oak St
Faulkton, SD 57438-2149
Phone (605) 598-1144

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

300 22ND Ave
Brookings, SD 57006-2480
Phone (605) 504-1600

911 E 20TH St
Suite 300
Sioux Falls, SD 57105-1045
Phone (605) 504-1100

Hospital & facility affiliations

  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016
  • Avera St Lukes Hospital, Aberdeen, SD, CCN 430014
  • Sioux Center Health Hospital, Sioux Center, IA, CCN 161346
  • Avera St Mary'S Hospital Hospital, Pierre, SD, CCN 430015
  • Avera Sacred Heart Hospital Hospital, Yankton, SD, CCN 430012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT211637PAMDInternal Medicine Physician
12586SDMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan Endocrinology, Diabetes & Metabolism CurrentSince Jul 15, 2021 Accepting new patients
Avera McKennan CurrentSince Jul 15, 2021 Accepting new patients
Avera McKennan Current Accepting new patients

Locations

911 E 20th St
Ste 300
Sioux Falls, SD 57105
Phone (605) 322-1300

1315 S Cliff Ave
Ste 3000
Sioux Falls, SD 57105
Phone (605) 322-7600

Interoperability endpoints

  • Direct secure messaging: hassan.mehmood@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 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1669823670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 S CLIFF AVE STE 3000",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051061",
            "telephone_number": "605-322-7600",
            "fax_number": "605-322-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 S CLIFF AVE STE 3000",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051061",
            "telephone_number": "605-322-7600",
            "fax_number": "605-322-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHMOOD",
        "first_name": "HASSAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-30",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT211637",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "SD",
            "license": "12586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.