NPIMap

Individual provider Active NPI

Kenneth Maina, MD

  • Family Medicine Physician
  • Sioux Falls, SD
National Provider Identifier
1669993341
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
RL14600 Issued in ND
Practice address
7600 S Minnesota Ave Ste 201
Sioux Falls, SD 57108-2988
Phone
(605) 271-5441
Fax
(605) 271-5277
NPI assigned
Jul 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RL14600 ND Primary

Addresses

Primary practice location

7600 S Minnesota Ave Ste 201
Sioux Falls, SD 57108-2988

Mailing address

7600 S Minnesota Ave Ste 201
Sioux Falls, SD 57108-2988
Phone (605) 271-5441

Other identifiers 1

IdentifierTypeStateIssuer
12083MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20230703000834 ND Practitioner - Family Practice 3870910847 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Joseph'S Hospital and Health CenterGroup PAC ID 0547177560, shared by 3 NPIs, 157 clinicians
St Alexius Medical CenterGroup PAC ID 8426960865, 239 clinicians

Practice addresses (Care Compare)

2500 Fairway St
Dickinson, ND 58601-2639
Phone (701) 456-4000

2500 Sunset Dr
Mandan, ND 58554-1540
Phone (701) 667-4600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.48 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RL14600NDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Alexius Medical Center CurrentSince May 22, 2023 Accepting new patients
St Alexius Medical Center CurrentSince May 22, 2023 Accepting new patients
Community Memorial Hospital Family Medicine Past Accepting new patients
St. Alexius Medical Center Past Accepting new patients

Locations

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

2500 Fairway St
Dickinson, ND 58601
Phone (701) 456-4000

2500 Sunset Dr
Mandan, ND 58554
Phone (701) 530-3750

Interoperability endpoints

  • Direct secure messaging: kmaina244638@achce.catholichealth.net

Organizations & group practices 6

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 5

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": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1669993341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 S MINNESOTA AVE STE 201",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082988",
            "telephone_number": "605-271-5441",
            "fax_number": "605-271-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 S MINNESOTA AVE STE 201",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082988",
            "telephone_number": "605-271-5441",
            "fax_number": "605-271-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINA",
        "first_name": "KENNETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-03",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "RL14600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12083",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.