Individual provider Active NPI

Mark R Huber, M.D.

  • Hematology & Oncology Physician
  • Sioux Falls, SD
National Provider Identifier
1750357299
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
5612 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
Feb 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 5612 SD Primary

Addresses

Primary practice location

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

Mailing address

2400 S. Minnesota Ave
Ste 100
Sioux Falls, SD 57105-3762
Phone (605) 322-7510

Other identifiers 18

IdentifierTypeStateIssuer
4994628OtherSDBLUE CROSS
0593988MedicaidIA
146682800MedicaidMN
377G1HUOtherMNBLUE CROSS
6005140MedicaidSD
57105V007OtherSDWPS TRICARE
HP52503OtherSDHEALTHPARTNERS
377G1HUOtherMNCC SYSTEMS/ BLUE PLUS
92411422903OtherMNPRIMEWEST
P00269053OtherSDRR MEDICARE
3600589OtherSDMEDICA
5612OtherSDDAKOTACARE
2361646OtherSDARAZ/ AMERICA'S PPO
246830OtherSDMIDLANDS CHOICE
407191020165OtherSDPREFERRED ONE
370624200OtherSDDEPT OF LABOR
45374OtherSDSANFORD HEALTH PLAN
46022474336MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050722000493 SD Practitioner - Hematology/OncologyPractitioner - Internal Medicine 2466489299 Reassigns benefits to 2 organizations
I20060426000089 MN Practitioner - Hematology/Oncology 2466489299 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Medical College of Georgia School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians
Avera MarshallGroup PAC ID 5799695227, 102 clinicians

Practice addresses (Care Compare)

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

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

300 S Bruce St
Marshall, MN 56258-1934
Phone (507) 537-9007

501 Summit St
Yankton, SD 57078-3855
Phone (605) 668-8000

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

Hospital & facility affiliations

  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016
  • Avera Marshall Regional Medical Ctr Hospital, Marshall, MN, CCN 241359
  • Avera St Mary'S Hospital Hospital, Pierre, SD, CCN 430015
  • Avera Queen of Peace Hospital, Mitchell, SD, CCN 431340
  • Pipestone County Medical Center Hospital, Pipestone, MN, CCN 241374

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Avera Marshall CurrentSince Nov 1, 2014 Accepting new patients
Avera Queen of Peace CurrentSince Nov 26, 2018 Accepting new patients
Avera Marshall CurrentSince Nov 1, 2014 Accepting new patients
Avera Queen of Peace CurrentSince Nov 26, 2018 Accepting new patients
Avera McKennan Current Accepting new patients

Locations

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

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

605 N Foster St
Mitchell, SD 57301
Phone (605) 995-5756

Organizations & group practices 5

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 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": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1750357299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S. MINNESOTA AVE",
            "address_2": "STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571053762",
            "telephone_number": "605-322-7510",
            "fax_number": "605-322-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E. 23RD ST.",
            "address_2": "STE. 230",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052122",
            "telephone_number": "605-322-6900",
            "fax_number": "605-322-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBER",
        "first_name": "MARK",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "SD",
            "license": "5612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4994628",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0593988",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146682800",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "377G1HU",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005140",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WPS TRICARE",
            "identifier": "57105V007",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP52503",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CC SYSTEMS/ BLUE PLUS",
            "identifier": "377G1HU",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIMEWEST",
            "identifier": "92411422903",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00269053",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "3600589",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "5612",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARAZ/ AMERICA'S PPO",
            "identifier": "2361646",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "246830",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "407191020165",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "370624200",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANFORD HEALTH PLAN",
            "identifier": "45374",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46022474336",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.