Active NPI
Fairview Health Services
Doing business as M Health Fairview Outreach Services
- Interventional Cardiology Physician
- Sioux Falls, SD
National Provider Identifier
1780330779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- Legal business name
- FAIRVIEW HEALTH SERVICES
- Doing business as
- M Health Fairview Outreach Services
- Practice address
- 1301 W 18TH St
Sioux Falls, SD 57105-0401 - Phone
- (763) 502-6602
- NPI assigned
- Feb 28, 2022
- 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
- Maureen V Ring
- Title
- Sys Dir Govt Reimb & Netwk Rel
- Phone
- (612) 672-6740
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | Primary |
Addresses
Primary practice location
1301 W 18TH St
Sioux Falls, SD 57105-0401
Mailing address
1700 University Ave W
Saint Paul, MN 55104-3727
Phone (612) 672-7272
Other names 1
- M Health Fairview Outreach Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220805000636 | SD | Part B Supplier - Clinic/Group Practice | 1951213057 |
Receives reassigned benefits from 2 practitioners Practice locations: Sioux Falls, SD |
National Provider Directory
National Provider Directory- Tax ID family
- Mesaba Clinic
Ownership & related parties
All facility ownership & control disclosures 4
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Capitol Park Mental Health Hospital | Hospital | 5% Or Greater Direct Ownership Interest (12.1%) | Dec 7, 2021 |
| Accentcare Fairview Home Health - East, LLC | Home health agency | 5% Or Greater Indirect Ownership Interest (20%) | Nov 2, 2020 |
| Accentcare Fairview Home Health - West, LLC | Home health agency | 5% Or Greater Indirect Ownership Interest (20%) | Nov 2, 2020 |
| Accentcare Fairview Hospice - West, LLC | Hospice | 5% Or Greater Indirect Ownership Interest (20%) | Nov 2, 2020 |
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740614400000",
"number": "1780330779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 UNIVERSITY AVE W",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551043727",
"telephone_number": "612-672-7272",
"fax_number": "612-884-3592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 W 18TH ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571050401",
"telephone_number": "763-502-6602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAIRVIEW HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-28",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A",
"authorized_official_last_name": "RING",
"authorized_official_first_name": "MAUREEN",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "SYS DIR GOVT REIMB & NETWK REL",
"authorized_official_telephone_number": "612-672-6740"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "M Health Fairview Outreach Services",
"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 Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.