NPIMap

Individual provider Active NPI

Joel L Grow, MD

  • Radiation Oncology Physician
  • Sioux Falls, SD
National Provider Identifier
1710270061
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
11300 Issued in SD
Practice address
1000 E 23Rd St Ste 100
Sioux Falls, SD 57105-2114
Phone
(605) 322-1625
Fax
(605) 322-1626
NPI assigned
May 19, 2011
Last updated
Jan 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 27066 WV
Radiation Oncology Physician 2085R0001X 11300 SD Primary

Addresses

Primary practice location

1000 E 23Rd St Ste 100
Sioux Falls, SD 57105-2114

Mailing address

1000 E 23Rd St Ste 100
Sioux Falls, SD 57105-2114
Phone (605) 322-1625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, SD2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160919000534 WV Practitioner - Radiation Oncology 9436446598 Reassigns benefits to 1 organization
I20190228002817 SD Practitioner - Radiation Oncology 9436446598 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
JC Edwards School of Medicine, Marshall University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1000 E 23Rd St
Sioux Falls, SD 57105-2114

1000 E 23Rd St
Sioux Falls, SD 57105-2134

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

305 S State St
Aberdeen, SD 57401-4527
Phone (605) 622-5500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11300SDMDRadiation Oncology Physician
27066WVMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera Queen of Peace CurrentSince Oct 1, 2021 Accepting new patients
Avera McKennan CurrentSince Feb 1, 2019 Accepting new patients
Avera Queen of Peace Current Accepting new patients
Avera Queen of Peace CurrentSince Oct 1, 2021 Accepting new patients
Avera McKennan CurrentSince Feb 1, 2019 Accepting new patients
Avera McKennan Current Accepting new patients
Charleston Radiation Therapy Consultants PLLC Radiation Oncology CurrentSince Aug 1, 2016 Accepting new patients
Avera Queen of Peace Current Accepting new patients
Avera McKennan Past Accepting new patients

Locations

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

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

1000 E 23rd St
Ste 100
Sioux Falls, SD 57105
Phone (605) 322-1625

4400 W 69th St
Ste 1500
Sioux Falls, SD 57108
Phone (605) 322-5700

3415 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-1790

Interoperability endpoints

  • Direct secure messaging: joel.grow@directaddress.net

Organizations & group practices 9

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": "1305763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1710270061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E 23RD ST STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052114",
            "telephone_number": "605-322-1625",
            "fax_number": "605-322-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E 23RD ST STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052114",
            "telephone_number": "605-322-1625",
            "fax_number": "605-322-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROW",
        "first_name": "JOEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-19",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WV",
            "license": "27066",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "SD",
            "license": "11300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.