NPIMap

Organization Active NPI

Surgical Institute of South Dakota, PC

Doing business as Surgical Institute

  • Surgery Physician
  • Sioux Falls, SD
National Provider Identifier
1760569248
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SURGICAL INSTITUTE OF SOUTH DAKOTA, PC
Doing business as
Surgical Institute
Practice address
911 E. 20TH St.
Ste. 700
Sioux Falls, SD 57105-1049
Phone
(605) 334-0393
Fax
(605) 334-6028
NPI assigned
Nov 1, 2006
Last updated
Mar 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Authorized official

Name
Mrs. Jessica Johnson
Title
Ceo
Phone
(605) 334-0393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

911 E. 20TH St.
Ste. 700
Sioux Falls, SD 57105-1049

Mailing address

911 E 20TH St Ste 700
Sioux Falls, SD 57105-1049
Phone (605) 334-0393

Other names 1

  • Surgical Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, SD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040313000492 MN Part B Supplier - Clinic/Group Practice 7911896253 Receives reassigned benefits from 1 practitioner
Practice locations: Hendricks, MN; Tyler, MN
O20040330000722 SD Part B Supplier - Clinic/Group Practice 7911896253 Receives reassigned benefits from 29 practitioners
Practice locations: Sioux Falls, SD; Freeman, SD; Flandreau, SD; Dell Rapids, SD

National Provider Directory

National Provider Directory

Locations

911 E 20th St
Ste 700
Sioux Falls, SD 57105
Phone (605) 322-7300

911 E 20th St
Ste 800
Sioux Falls, SD 57105
Phone (605) 334-2266

Practitioners & affiliated clinicians

Practitioners 36

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 36

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1760569248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 E 20TH ST STE 700",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051049",
            "telephone_number": "605-334-0393",
            "fax_number": "605-334-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E. 20TH ST.",
            "address_2": "STE. 700",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051049",
            "telephone_number": "605-334-0393",
            "fax_number": "605-334-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL INSTITUTE OF SOUTH DAKOTA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-334-0393",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgical Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Surgical Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.