NPIMap

Individual provider Active NPI

Stephen Edward Wasemiller, M.D.

  • Cardiovascular Disease Physician
  • Rapid City, SD
National Provider Identifier
1790196533
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
11908 Issued in SD
Practice address
4150 5TH St
Rapid City, SD 57701-6022
Phone
(605) 755-4300
NPI assigned
May 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A139538 CA
Student in an Organized Health Care Education/Training Program 390200000X
Cardiovascular Disease Physician 207RC0000X 11908 SD Primary

Addresses

Primary practice location

4150 5TH St
Rapid City, SD 57701-6022

Mailing address

4150 5TH St
Rapid City, SD 57701-6022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, NE, WY3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200922002225 SD Practitioner - Cardiovascular Disease (Cardiology) 1850719923 Reassigns benefits to 2 organizations
I20201030001970 NE Practitioner - Cardiovascular Disease (Cardiology) 1850719923 Reassigns benefits to 1 organization
I20201112001094 WY Practitioner - Cardiovascular Disease (Cardiology) 1850719923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Loma Linda University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monument Health Network IncGroup PAC ID 5991616427, 163 clinicians

Practice addresses (Care Compare)

1100 Hwy 71 S
Hot Springs, SD 57747-8801
Phone (605) 745-8050

1220 Montgomery St
Custer, SD 57730-1705
Phone (605) 673-4150

1303 N Lacrosse St
Rapid City, SD 57701-6956
Phone (605) 755-6600

1440 N Main St
Spearfish, SD 57783-1505
Phone (605) 644-4000

2116 Jackson Blvd
Rapid City, SD 57702-3495
Phone (605) 755-3900

2526 Elderberry Blvd
Rapid City, SD 57703-6589
Phone (605) 755-2273

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 755-8109

375 Berky Dr
Box Elder, SD 57719-8060
Phone (605) 755-2273

502 E Monroe St
Rapid City, SD 57701-1400
Phone (605) 755-4060

620 Four-J CT
Unit a
Gillette, WY 82716-4130
Phone (605) 755-0682

640 Flormann St
Rapid City, SD 57701-4679
Phone (605) 755-3300

825 Centennial Dr
Chadron, NE 69337-9400
Phone 30843255869400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A139538CAMDInternal Medicine Physician
11908SDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Network, Inc. Current Accepting new patients
Monument Health Network, Inc. CurrentSince Jan 21, 2021 Accepting new patients
Monument Health Network, Inc. CurrentSince Jan 21, 2021 Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Monument Health Rapid City Hospital, Inc. Past Accepting new patients
Queen City Regional Medical Clinic Past Accepting new patients

Locations

1220 Montgomery St
Custer, SD 57730
Phone (605) 673-4150

1100 Highway 71 S
Ste 101
Hot Springs, SD 57747
Phone (605) 745-5188

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

4150 5th St
Rapid City, SD 57701
Phone (605) 399-4300

1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000

Interoperability endpoints

  • Direct secure messaging: swasemiller.83312@regionalhealth.sdhealthlink.net

Organizations & group practices 7

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.

Hospital & facility affiliations 24

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1790196533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 5TH ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 5TH ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016022",
            "telephone_number": "605-755-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASEMILLER",
        "first_name": "STEPHEN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-14",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A139538",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SD",
            "license": "11908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.