NPIMap

Organization Active NPI

Acute Care Surgery of South Dakota PC

  • Orthopaedic Surgery Physician
  • Rapid City, SD
National Provider Identifier
1730797184
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ACUTE CARE SURGERY OF SOUTH DAKOTA PC
Practice address
1635 Caregiver Cir
Rapid City, SD 57702-8529
Phone
(916) 441-0400
NPI assigned
Jul 21, 2020
Last updated
Aug 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Mr. Scott Flacks
Title
Cfo
Phone
(916) 441-0400

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X Primary
Adult Reconstructive Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XS0114X
Orthopaedic Trauma PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XX0801X
Surgical Critical Care PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086S0102X
Urology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208800000X

Addresses

Primary practice location

1635 Caregiver Cir
Rapid City, SD 57702-8529

Mailing address

PO Box 889430
Los Angeles, CA 90088-9430
Phone (916) 441-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, IL, IA, ND, OK5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20201026000211 SD Part B Supplier - Clinic/Group Practice 5698195030 Receives reassigned benefits from 98 practitioners
Practice locations: Rapid City, SD
O20201228000468 IL Part B Supplier - Clinic/Group Practice 5698195030 Receives reassigned benefits from 51 practitioners
Practice locations: Peoria, IL; Rock Island, IL; Pekin, IL; Murphysboro, IL; Moline, IL; Carbondale, IL
O20220127001492 IA Part B Supplier - Clinic/Group Practice 5698195030 Receives reassigned benefits from 11 practitioners
Practice locations: Bettendorf, IA
O20230411001580 ND Part B Supplier - Clinic/Group Practice 5698195030 Receives reassigned benefits from 10 practitioners
Practice locations: Grand Forks, ND
O20230731000197 OK Part B Supplier - Clinic/Group Practice 5698195030 Receives reassigned benefits from 7 practitioners
Practice locations: Lawton, OK

National Provider Directory

National Provider Directory

Locations

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

7309 N Knoxville Ave
Ste 1
Peoria, IL 61614
Phone (309) 643-6105

2805 5th St
Ste 100
Rapid City, SD 57701
Phone (605) 719-5700

Practitioners & affiliated clinicians

Practitioners 161

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 161

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1730797184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 889430",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900889430",
            "telephone_number": "916-441-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 CAREGIVER CIR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577028529",
            "telephone_number": "916-441-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUTE CARE SURGERY OF SOUTH DAKOTA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "FLACKS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "916-441-0400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.