NPIMap

Individual provider Active NPI

Michael Troy Nesbit, MD

  • Anesthesiology Physician
  • Rapid City, SD
National Provider Identifier
1689785982
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
LT0996 Issued in SD
Practice address
353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone
(605) 343-1333
Fax
(605) 343-6017
NPI assigned
Aug 31, 2006
Last updated
Mar 19, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X LT0996 SD Primary

Addresses

Primary practice location

353 Fairmont Blvd
Rapid City, SD 57701-7375

Mailing address

631 Saint Anne St Ste 102
Rapid City, SD 57701-4693
Phone (605) 343-1333

Other identifiers 1

IdentifierTypeStateIssuer
P00478929OtherSDRAILROAD MEDICARE

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
I20070209000167 SD Practitioner - AnesthesiologyPractitioner - Pain Management 1153323860 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
University of Utah School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West River Anesthesiology Consultants PCGroup PAC ID 7810989100, 14 clinicians

Practice addresses (Care Compare)

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 755-8109

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Rapid City Hospital, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Avera St. Luke's Current Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Jul 1, 2024 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Monument Health Network, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Avera St. Lukes CurrentSince Jan 9, 2017 Accepting new patients
Monument Health Network, Inc. Current Accepting new patients
Avera St. Luke's CurrentSince Jan 9, 2017 Accepting new patients
Monument Health Network, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Queen City Regional Medical Clinic Past Accepting new patients

Locations

305 S State St
Aberdeen, SD 57401
Phone (605) 229-3000

2908 5th St
Rapid City, SD 57701
Phone (605) 719-1100

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

2140 Junction Ave
Sturgis, SD 57785
Phone (605) 720-2400

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1689785982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 SAINT ANNE ST STE 102",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014693",
            "telephone_number": "605-343-1333",
            "fax_number": "605-343-6017"
        },
        {
            "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": "605-343-1333",
            "fax_number": "605-343-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESBIT",
        "first_name": "MICHAEL",
        "middle_name": "TROY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SD",
            "license": "LT0996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00478929",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.