Active NPI
Avera McKennan
Doing business as Avera Internal Medicine
- Internal Medicine Physician
- Sioux Falls, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- AVERA MCKENNAN
- Doing business as
- Avera Internal Medicine
Avera Medical Group Internal Medicine Sioux Falls - Practice address
- 6100 S Louise Ave Ste 1120
Sioux Falls, SD 57108-6021 - Phone
- (605) 504-1700
- NPI assigned
- Feb 17, 2006
- Last updated
- Mar 12, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronald J Place
- Title
- Ceo/President
- Phone
- (605) 322-8000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
6100 S Louise Ave Ste 1120
Sioux Falls, SD 57108-6021
Mailing address
PO Box 86370
Sioux Falls, SD 57118-6370
Phone (605) 322-7510
Other practice location 1
1301 S Cliff Ave Ste 400
Sioux Falls, SD 57105-1023
Phone (605) 322-5750
Other practice location 2
1600 S Highline Ave Ste 210
Sioux Falls, SD 57110-1008
Phone (605) 504-5780
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006020 | Other | SD | BCBS |
| 370624200 | Other | SD | DEPT OF LABOR |
| 59767 | Other | SD | HEALTHPARTNERS |
| 0532341 | Medicaid | IA | |
| 068417100 | Medicaid | MN | |
| 30B74GU | Other | MN | BLUE PLUS |
| 92411422901 | Other | MN | PRIMEWEST |
| 30B74GU | Other | MN | BLUE CROSS |
Other names 2
- Avera Internal Medicine
- Avera Medical Group Internal Medicine Sioux Falls
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, IA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031110000117 | SD | Part B Supplier - Clinic/Group Practice | 0345157103 |
Receives reassigned benefits from 1,418 practitioners This NPI is an additional NPI on the enrollment |
| O20040206000384 | IA | Part B Supplier - Clinic/Group Practice | 0345157103 |
Receives reassigned benefits from 91 practitioners 25 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Rock Valley, IA; Spirit Lake, IA; Spencer, IA; Sioux Center, IA; Sibley, IA; Rock Rapids, IA; Milford, IA; Mason City, IA… |
Other NPIs on the same Medicare enrollment 25
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Avera Medical Group Rheumatology Sioux Falls
- Rheumatology Physician
- Sioux Falls, SD
- NPI 1013177393
O20040206000384
-
dba Avera Medical Group University Psychiatry Associates Sioux Falls
- Psychiatry Physician
- Sioux Falls, SD
- NPI 1013980598
O20040206000384
-
dba Avera Medical Group Oncology and Hematology Sioux Falls
- Hematology & Oncology Physician
- Sioux Falls, SD
- NPI 1033185582
O20040206000384
-
dba Avera Interventional Radiology
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
O20040206000384
-
dba Avera Medical Group Orthopedics and Sports Medicine
- Orthopaedic Surgery Physician
- Sioux Falls, SD
- NPI 1093262131
O20040206000384
-
dba Avera Nephrology
- Nephrology Physician
- Sioux Falls, SD
- NPI 1104892892
O20040206000384
-
dba Avera Medical Group Brain and Spine Institute
- Neurological Surgery Physician
- Sioux Falls, SD
- NPI 1114113693
O20040206000384
-
dba Avera Medical Group Physical Medicine and Rehabilitation Sioux Falls
- Physical Medicine & Rehabilitation Physician
- Sioux Falls, SD
- NPI 1134195332
O20040206000384
-
dba Avera Medical Group Womens Health Specialists Sioux Falls
- Obstetrics & Gynecology Physician
- Sioux Falls, SD
- NPI 1336111962
O20040206000384
-
dba Avera Dermatology
- Dermatology Physician
- Sioux Falls, SD
- NPI 1346216074
O20040206000384
-
dba Avera Medical Group Pulmonary and Sleep Medicine Sioux Falls
- Pulmonary Disease Physician
- Sioux Falls, SD
- NPI 1386610004
O20040206000384
-
dba Avera Endocrinology and Diabetes
- Endocrinology, Diabetes & Metabolism Physician
- Sioux Falls, SD
- NPI 1396711016
O20040206000384
National Provider Directory
National Provider DirectoryLocations
4400 W 69th St
Ste 3100
Sioux Falls, SD 57108
Phone (605) 504-3522
Practitioners & affiliated clinicians
Practitioners 11
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.
-
- Internal Medicine Physician
- Sioux Falls, SD
- NPI 1295020618
-
- Internal Medicine Physician
- Sioux Falls, SD
- NPI 1013322205
-
- Internal Medicine Physician
- Sioux Falls, SD
- NPI 1629497615
-
- Internal Medicine Physician
- Sioux Falls, SD
- NPI 1134172463
-
- Adult Health Nurse Practitioner
- Sioux Falls, SD
- NPI 1477919421
-
- Adult Health Nurse Practitioner
- Sioux Falls, SD
- NPI 1780134023
-
- Family Nurse Practitioner
- Sioux Falls, SD
- NPI 1114654381
-
- Internal Medicine Physician
- Sioux Falls, SD
- NPI 1518320928
-
- Internal Medicine Physician
- Sioux Falls, SD
- NPI 1679661631
-
- Physician Assistant
- Minneapolis, MN
- NPI 1295150233
-
- Neonatal-Perinatal Medicine Physician
- Sioux Falls, SD
- NPI 1104896083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773273600000",
"number": "1770558405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 86370",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571186370",
"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": "6100 S LOUISE AVE STE 1120",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571086021",
"telephone_number": "605-504-1700"
}
],
"practiceLocations": [
{
"address_1": "1301 S Cliff Ave Ste 400",
"address_purpose": "LOCATION",
"city": "Sioux Falls",
"state": "SD",
"postal_code": "571051023",
"country_code": "US",
"telephone_number": "605-322-5750",
"fax_number": "605-322-5799",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 S Highline Ave Ste 210",
"address_purpose": "LOCATION",
"city": "Sioux Falls",
"state": "SD",
"postal_code": "571101008",
"country_code": "US",
"telephone_number": "605-504-5780",
"fax_number": "605-504-5781",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "AVERA MCKENNAN",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-17",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A",
"authorized_official_last_name": "PLACE",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "605-322-8000"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0006020",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR",
"identifier": "370624200",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "59767",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0532341",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "068417100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE PLUS",
"identifier": "30B74GU",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIMEWEST",
"identifier": "92411422901",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "30B74GU",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Avera Internal Medicine",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Avera Medical Group Internal Medicine Sioux Falls",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sioux Falls, SD
- Avera McKennan (Avera Dialysis Sioux Falls)
- Avera McKennan (Avera Transplant & Liver Surgery Sioux Falls)
- Avera McKennan (Avera McKennan Hospital Neonatal Intensive Care Unit)
- Avera McKennan (Avera McKennan Campus Pharmacy)
- Avera McKennan (Avera Medical Group Behavioral Health Clinic)
- Avera McKennan (Avera McKennan Renal Transplant Center)
- Avera McKennan (Avera Medical Group Family Wellness)
- Avera McKennan (Avera Medical Group Pediatric Critical Care Services)
- Avera McKennan (Avera Rehabilitation Associates)
- Avera McKennan (Avera Medical Group Family Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.