Deptmer Martin Ashley, M.D.
Individual provider Active NPI Pulmonary Disease Physician · Aberdeen, SD
NPI 1780119669 · NPPES record last updated Sep 18, 2023
Key facts
- NPI
- 1780119669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 12300 (SD)
- Practice address
- 305 S State St
Aberdeen, SD 57401-4527 - Phone
- (605) 622-2570
- Fax
- (605) 622-2571
- NPI assigned
- Apr 27, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
310 S Penn St
Aberdeen, SD 57401-4553
Phone (605) 290-2309
Hospital & facility affiliations
- Avera St Lukes
- Community Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201117002155 | SD | Practitioner - Internal Medicine |
8123442753 | Practice locations: Aberdeen, SD |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera St. Lukes | Current |
Accepting new patients | |
| Sacred Heart Health Services | Current |
Accepting new patients | |
| Avera St. Luke'S | Current |
Accepting new patients | |
| Sacred Heart Health Services | Current |
Accepting new patients | |
| Avera St. Luke'S | Internal Medicine | Current | Accepting new patients |
Locations
105 S State St
Ste 201
Aberdeen, SD 57401
Phone (605) 622-5458
305 S State St
Aberdeen, SD 57401
Phone (605) 229-3000
501 Summit St
Yankton, SD 57078
Phone (605) 655-1201
Interoperability endpoints
- deptmer.ashley@avera.sdhealthlink.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 12300 | SD | Yes |
Addresses
Primary practice location
305 S State St
Aberdeen, SD 57401-4527
Mailing address
305 S State St
Aberdeen, SD 57401-4527
Phone (605) 622-2570
Other providers in Aberdeen, SD
- Spencer James Arment
- Marc B Armstrong
- Kristen Maryirella Arnoldy
- Cammie Jo Arnott
- Shelly Kay Arthur Sinar
- Kevin James Aston
- Avera at Home
- Avera at Home
- Avera Home Medical Equipment, LLC
- Avera McKennan
All providers in Aberdeen, SD · Pulmonary Disease Physician in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.