Active NPI
Cindi J Pochop, MD
- Internal Medicine Physician
- Pierre, SD
National Provider Identifier
1730171810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- SD3772
- Practice address
- 100 Mac Lane
Avera Medical Group Pierre
Pierre, SD 57501 - Phone
- (605) 224-5901
- Fax
- (605) 945-5096
- NPI assigned
- Aug 16, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 3772 | SD | |
| Internal Medicine Physician | 207R00000X | SD3772 | SD | Primary |
Addresses
Primary practice location
100 Mac Lane
Avera Medical Group Pierre
Pierre, SD 57501
Mailing address
100 Mac Lane
Avera Medical Group Pierre
Pierre, SD 57501
Phone (605) 224-5901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6000925 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3772 | SD | MD | Internal Medicine Physician |
| SD3772 | SD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagle Butte Indian Health Service Hospital | Current | Accepting new patients | |
| Avera St Marys | Current | Accepting new patients | |
| Avera St Marys | Current | Accepting new patients | |
| Avera St Marys | Current | Accepting new patients | |
| Pediatric Hematology Clinic LTD | Past | Accepting new patients | |
| Pediatric Hematology Oncology Pharmacy LTC | Past | Accepting new patients |
Locations
608 E Garfield Ave
Gettysburg, SD 57442
Phone (605) 765-2273
100 Mac Ln
Pierre, SD 57501
Phone (605) 224-5901
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.
-
- General Acute Care Hospital
- Pierre, SD
- NPI 1669457180
-
- Public Health or Welfare Agency
- Eagle Butte, SD
- NPI 1558395848
TX
-
- Emergency Medicine Physician
- Pierre, SD
- NPI 1073305496
-
- Multi-Specialty Clinic/Center
- Pierre, SD
- NPI 1720326713
-
- Pediatric Hematology & Oncology Physician
- Sioux Falls, SD
- NPI 1003956343
-
- Pharmacy
- Sioux Falls, SD
- NPI 1952436099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333497600000",
"number": "1730171810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MAC LANE",
"address_2": "AVERA MEDICAL GROUP PIERRE",
"city": "PIERRE",
"state": "SD",
"postal_code": "57501",
"telephone_number": "605-224-5901",
"fax_number": "605-945-5096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MAC LANE",
"address_2": "AVERA MEDICAL GROUP PIERRE",
"city": "PIERRE",
"state": "SD",
"postal_code": "57501",
"telephone_number": "605-224-5901",
"fax_number": "605-945-5096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POCHOP",
"first_name": "CINDI",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-16",
"last_updated": "2012-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SD",
"license": "3772",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SD",
"license": "SD3772",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6000925",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pierre, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.