Individual provider Active NPI

Kyle Owen Arneson, M.D.

  • Radiation Oncology Physician
  • Sioux Falls, SD
National Provider Identifier
1760625768
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
9111 Issued in SD
Practice address
1000 E 23Rd St Ste 100
Sioux Falls, SD 57105-2114
Phone
(605) 322-1625
Fax
(605) 322-1626
NPI assigned
Apr 7, 2009
Last updated
Jul 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 9111 SD Primary

Addresses

Primary practice location

1000 E 23Rd St Ste 100
Sioux Falls, SD 57105-2114

Mailing address

1000 E 23Rd St Ste 100
Sioux Falls, SD 57105-2114
Phone (605) 322-1625

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
I20140911000118 SD Practitioner - Radiation Oncology 4082833777 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Vanderbilt University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1000 E 23Rd St
Sioux Falls, SD 57105-2114

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Aug 1, 2014 Accepting new patients
Avera McKennan CurrentSince Aug 1, 2014 Accepting new patients
Avera Queen of Peace Current Accepting new patients
Avera Queen of Peace CurrentSince Oct 1, 2021 Accepting new patients
Avera Queen of Peace CurrentSince Oct 1, 2021 Accepting new patients
Avera McKennan Current Accepting new patients
Avera Queen of Peace Current Accepting new patients

Locations

400 22nd Ave
Brookings, SD 57006
Phone (605) 692-6236

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

1000 E 23rd St
Ste 100
Sioux Falls, SD 57105
Phone (605) 322-1625

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1760625768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E 23RD ST STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052114",
            "telephone_number": "605-322-1625",
            "fax_number": "605-322-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E 23RD ST STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052114",
            "telephone_number": "605-322-1625",
            "fax_number": "605-322-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNESON",
        "first_name": "KYLE",
        "middle_name": "OWEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-07",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "SD",
            "license": "9111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.