Active NPI
Randy Oppold, P.A.
- Physician Assistant
- Sioux Falls, SD
National Provider Identifier
1770525487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0620
- Practice address
- 6215 South Cliff Avenue
Sioux Falls, SD 57108-8589 - Phone
- (605) 322-4130
- Fax
- (605) 322-4131
- NPI assigned
- Jun 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0620 | SD | Primary |
Addresses
Primary practice location
6215 South Cliff Avenue
Sioux Falls, SD 57108-8589
Mailing address
PO Box 86430
Sioux Falls, SD 57118-6430
Phone (605) 322-4900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0620 | Other | SD | PA LICENSE |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1325 S Cliff Ave
Sioux Falls, SD 57105-1007
1417 S Cliff Ave
Suite 201
Sioux Falls, SD 57105-1009
Phone (605) 322-3666
901 E Virgil Ave
Milbank, SD 57252-2124
Phone (605) 432-4538
Hospital & facility affiliations
- Avera McKennan Hospital & University Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0620 | SD | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Upper Midwest Medical Inc | Past | Accepting new patients |
Locations
6215 S Cliff Ave
Sioux Falls, SD 57108
Phone (605) 322-1530
810 E 23rd St
Sioux Falls, SD 57105
Phone (605) 339-6823
1200 S 7th Ave
Sioux Falls, SD 57105
Phone (605) 336-2140
Interoperability endpoints
- randall.oppold@avera.sdhealthlink.net
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
-
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
-
- Orthopaedic Surgery Physician
- Sioux Falls, SD
- NPI 1093262131
-
- Surgery Physician
- Sioux Falls, SD
- NPI 1235796533
Hospital & facility affiliations 23
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1154531630
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1184834764
-
- Endocrinology, Diabetes & Metabolism Physician
- Sioux Falls, SD
- NPI 1396711016
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462752000000",
"number": "1770525487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 86430",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571186430",
"telephone_number": "605-322-4900",
"fax_number": "605-322-4910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6215 SOUTH CLIFF AVENUE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571088589",
"telephone_number": "605-322-4130",
"fax_number": "605-322-4131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPPOLD",
"first_name": "RANDY",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2016-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SD",
"license": "0620",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LICENSE",
"identifier": "0620",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}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 May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.