NPIMap

Individual provider Active NPI

Ryan Anthony Vaca, M.D.

  • Hematology & Oncology Physician
  • Sioux Falls, SD
National Provider Identifier
1700222148
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
12727 Issued in SD
Practice address
1000 E 23Rd St Ste 230
Sioux Falls, SD 57105-2122
Phone
(605) 322-6900
Fax
(605) 322-6901
NPI assigned
May 13, 2013
Last updated
Sep 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Hematology & Oncology Physician 207RH0003X 12727 SD Primary

Addresses

Primary practice location

1000 E 23Rd St Ste 230
Sioux Falls, SD 57105-2122

Mailing address

1000 E 23Rd St Ste 230
Sioux Falls, SD 57105-2122
Phone (605) 322-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, 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
I20150408001547 WI Practitioner - Internal Medicine 8224266648 Reassigns benefits to 2 organizations
I20210831002742 SD Practitioner - Medical Oncology 8224266648 Reassigns benefits to 1 organization
I20220216002393 MN Practitioner - Hematology/Oncology 8224266648 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Sanford School of Medicine of University of South Dakota, 2013
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)

1000 E 23Rd St
Sioux Falls, SD 57105-2122

1000 E 23Rd St
Sioux Falls, SD 57105-2140

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

525 N Foster
Mitchell, SD 57301-2966
Phone (605) 995-2473

801 E Sioux Ave
Pierre, SD 57501-3323
Phone (605) 322-6930

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gundersen Lutheran Express Care, Inc CurrentSince Feb 23, 2015 Accepting new patients
Avera McKennan CurrentSince Aug 1, 2021 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Feb 23, 2015 Accepting new patients
Avera McKennan CurrentSince Aug 1, 2021 Accepting new patients
Avera Marshall CurrentSince Feb 10, 2022 Accepting new patients
Avera Marshall CurrentSince Feb 10, 2022 Accepting new patients
Avera Marshall CurrentSince Jan 25, 2026 Accepting new patients
Avera McKennan Current Accepting new patients
Gundersen Clinic LTD CurrentSince Feb 23, 2015 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Feb 23, 2015 Accepting new patients

Locations

300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631

400 22nd Ave
Brookings, SD 57006
Phone (605) 692-6236

1000 E 23rd St
Ste 230
Sioux Falls, SD 57105
Phone (605) 322-6900

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681

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 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1700222148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E 23RD ST STE 230",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052122",
            "telephone_number": "605-322-6900",
            "fax_number": "605-322-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E 23RD ST STE 230",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052122",
            "telephone_number": "605-322-6900",
            "fax_number": "605-322-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACA",
        "first_name": "RYAN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-13",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "SD",
            "license": "12727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.