NPIMap

Individual provider Active NPI

Aaron Pemberton, M.D.

  • Orthopaedic Surgery Physician
  • Sioux Falls, SD
National Provider Identifier
1740493493
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
10226 Issued in SD
Practice address
911 E 20TH St Ste 300
Sioux Falls, SD 57105-1045
Phone
(605) 322-1300
Fax
(605) 322-1301
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A121481 CA
Orthopaedic Surgery Physician 207X00000X Q9230 TX
Orthopaedic Surgery Physician 207X00000X 10226 SD Primary

Addresses

Primary practice location

911 E 20TH St Ste 300
Sioux Falls, SD 57105-1045

Mailing address

911 E 20TH St Ste 300
Sioux Falls, SD 57105-1045
Phone (605) 322-1300

Other identifiers 2

IdentifierTypeStateIssuer
00AX91410MedicaidCA
359386501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, NC2 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
I20170406002832 SD Practitioner - Orthopedic Surgery 9335311562 Reassigns benefits to 2 organizations
I20190320001177 NC Practitioner - Orthopedic Surgery 9335311562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Tennessee, HSC, College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical CenterGroup PAC ID 8325950215, 847 clinicians

Practice addresses (Care Compare)

1210 W 18TH St
Suite G01
Sioux Falls, SD 57104-4651
Phone (605) 328-2663

1301 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-2200

1305 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-7300

4405 E 26TH St
Sioux Falls, SD 57103-4187
Phone (605) 332-2883

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A121481CAMDOrthopaedic Surgery Physician
10226SDMDOrthopaedic Surgery Physician
Q9230TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan Current Accepting new patients
Vidant Medical Group LLC CurrentSince Jan 12, 2019 Accepting new patients
Avera McKennan CurrentSince Apr 1, 2017 Accepting new patients
Sanford Medical Center Orthopaedic Surgery CurrentSince Aug 6, 2022 Accepting new patients
Avera McKennan CurrentSince Apr 1, 2017 Accepting new patients
Orthopaedic Trauma Solutions Inc Past Accepting new patients

Locations

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

911 E 20th St
Ste 300
Sioux Falls, SD 57105
Phone (605) 322-1300

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

1210 W 18th St
Ste G01
Sioux Falls, SD 57104
Phone (605) 328-1395

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1740493493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 E 20TH ST STE 300",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051045",
            "telephone_number": "605-322-1300",
            "fax_number": "605-322-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E 20TH ST STE 300",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051045",
            "telephone_number": "605-322-1300",
            "fax_number": "605-322-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEMBERTON",
        "first_name": "AARON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A121481",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "Q9230",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SD",
            "license": "10226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX91410",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "359386501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.