Individual provider Active NPI

Robert R. Seidel, MD

  • Family Medicine Physician
  • Sioux Falls, SD
National Provider Identifier
1760488209
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2327 Issued in SD
Practice address
1201 S Euclid Ave
Sioux Falls, SD 57105-7700
Phone
(605) 328-7600
Fax
(605) 328-7620
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2327 SD Primary

Addresses

Primary practice location

1201 S Euclid Ave
Sioux Falls, SD 57105-7700

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-9556

Other identifiers 1

IdentifierTypeStateIssuer
5600654MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100113000575 SD Practitioner - Family Practice 9133031917 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2327SDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Clinic CurrentSince May 1, 2003 Accepting new patients
Sanford Clinic Current Accepting new patients
Sanford Clinic Family Medicine CurrentSince May 1, 2003 Accepting new patients
Sanford Clinic Past Accepting new patients

Locations

7220 W 41st St
Sioux Falls, SD 57106
Phone (605) 328-9600

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

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

1500 W 22nd St
Ste 102
Sioux Falls, SD 57105
Phone (605) 328-8800

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1760488209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-328-9556",
            "fax_number": "605-328-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S EUCLID AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571057700",
            "telephone_number": "605-328-7600",
            "fax_number": "605-328-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDEL",
        "first_name": "ROBERT",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "2327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5600654",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.