NPIMap

Individual provider Active NPI

Matthew Taylor, DO

  • Pulmonary Disease Physician
  • Sioux Falls, SD
National Provider Identifier
1699126946
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
13359 Issued in SD
Practice address
1301 S Cliff Ave Ste 601
Sioux Falls, SD 57105-1032
Phone
(605) 322-7519
Fax
(605) 322-4950
NPI assigned
Jun 28, 2016
Last updated
Sep 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R10724 IA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 13359 SD
Student in an Organized Health Care Education/Training Program 390200000X 04512 KY
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 13359 SD Primary

Addresses

Primary practice location

1301 S Cliff Ave Ste 601
Sioux Falls, SD 57105-1032

Mailing address

1301 S Cliff Ave Ste 601
Sioux Falls, SD 57105-1032
Phone (605) 322-7519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, SD, MN3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180914001851 IA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 7315230521 Reassigns benefits to 1 organization
I20220922000908 SD Practitioner - Pulmonary Disease 7315230521 Reassigns benefits to 1 organization
I20250314003148 MN Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 7315230521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2016
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
Suite 610
Sioux Falls, SD 57105-1032
Phone (605) 322-8860

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

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

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

901 E Virgil Ave
Milbank, SD 57252-2124
Phone (605) 432-4538

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R10724IAMDInternal Medicine Physician
04512KYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Sep 1, 2022 Accepting new patients
Avera McKennan Multi-Specialty CurrentSince Sep 1, 2022 Accepting new patients
Avera McKennan Multi-Specialty CurrentSince Jan 9, 2025 Accepting new patients
Avera McKennan Multi-Specialty Current Accepting new patients
Avera McKennan Pulmonary Disease CurrentSince Jan 4, 2025 Accepting new patients
Avera McKennan Multi-Specialty Current Accepting new patients
Iowa Physicians Clinic Medical Foundation Multi-Specialty Past Accepting new patients

Locations

1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164

911 5th Ave SW
Pipestone, MN 56164
Phone (507) 825-5811

1301 S Cliff Ave
Ste 601
Sioux Falls, SD 57105
Phone (605) 322-6930

Interoperability endpoints

  • Direct secure messaging: matthew.taylor@avera.sdhealthlink.net

Organizations & group practices 7

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 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1699126946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S CLIFF AVE STE 601",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051032",
            "telephone_number": "605-322-7519",
            "fax_number": "605-322-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S CLIFF AVE STE 601",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051032",
            "telephone_number": "605-322-7519",
            "fax_number": "605-322-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MATTHEW",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-28",
        "last_updated": "2022-09-02",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "R10724",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "SD",
            "license": "13359",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "KY",
            "license": "04512",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SD",
            "license": "13359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.