Active NPI
Samuel E Rogers, M.D.
- Neonatal-Perinatal Medicine Physician
- Sioux Falls, SD
National Provider Identifier
1780654665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 4560
- Practice address
- 1325 S. Cliff Ave.
Sioux Falls, SD 57105-1007 - Phone
- (605) 322-4425
- Fax
- (605) 322-4499
- NPI assigned
- Jan 24, 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 |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 4560 | SD | Primary |
Addresses
Primary practice location
1325 S. Cliff Ave.
Sioux Falls, SD 57105-1007
Mailing address
2400 S Minnesota Ave
Ste 100
Sioux Falls, SD 57105-3761
Phone (605) 322-7510
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040130007 | Other | MN | PRIMEWEST |
| HP32540 | Other | SD | HEALTHPARTNERS |
| 0533695 | Medicaid | IA | |
| 22326 | Other | SD | MIDLAND'S CHOICE |
| 62B58RO | Other | MN | CC SYSTEMS/BLUE PLUS |
| 57105L006 | Other | SD | WPS TRICARE |
| 9145659 | Other | SD | DAKOTACARE |
| 250745500 | Medicaid | MN | |
| 4700118 | Medicaid | NE | |
| 6701340 | Medicaid | SD | |
| 800762 | Other | SD | ARAZ/AMERICA'S PPO |
| 140311 | Other | MN | UCARE |
| 46022474345 | Medicaid | NE | |
| 0007025 | Other | SD | BLUE CROSS/SOUTH DAKOTA |
| 34577 | Other | SD | SANFORD HEALTH |
| 4700076 | Other | SD | MEDICA |
| 769221022962 | Other | SD | PREFERRED ONE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4560 | SD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386720000000",
"number": "1780654665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 S MINNESOTA AVE",
"address_2": "STE 100",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571053761",
"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": "1325 S. CLIFF AVE.",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051007",
"telephone_number": "605-322-4425",
"fax_number": "605-322-4499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "SAMUEL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2013-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "SD",
"license": "4560",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIMEWEST",
"identifier": "040130007",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP32540",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0533695",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLAND'S CHOICE",
"identifier": "22326",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CC SYSTEMS/BLUE PLUS",
"identifier": "62B58RO",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WPS TRICARE",
"identifier": "57105L006",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAKOTACARE",
"identifier": "9145659",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "250745500",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4700118",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6701340",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZ/AMERICA'S PPO",
"identifier": "800762",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "140311",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "46022474345",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/SOUTH DAKOTA",
"identifier": "0007025",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SANFORD HEALTH",
"identifier": "34577",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "4700076",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "769221022962",
"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 Dec 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.