NPIMap

Individual provider Active NPI

Leo P Flynn, MD

  • Diagnostic Radiology Physician
  • Rapid City, SD
National Provider Identifier
1831149954
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
5393 Issued in SD
Practice address
2929 5TH St Ste 100
Rapid City, SD 57701-7355
Phone
(605) 342-2852
Fax
(605) 342-3930
NPI assigned
May 11, 2006
Last updated
Sep 26, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 5393 SD Primary

Addresses

Primary practice location

2929 5TH St Ste 100
Rapid City, SD 57701-7355

Mailing address

5625 Blue Stem CT
Rapid City, SD 57702-8990
Phone (605) 341-1173

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040615001300 SD Practitioner - Diagnostic Radiology 5496739013 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Sanford School of Medicine of University of South Dakota, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Imaging Center LLCGroup PAC ID 0345347803, 18 clinicians
Radiology Associates Prof LLCGroup PAC ID 0941192314, 18 clinicians

Practice addresses (Care Compare)

2929 5TH St
Suite 100
Rapid City, SD 57701-7355
Phone (605) 721-1662

3771 Ireland PL
Rapid City, SD 57702-8353
Phone (605) 430-7692

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.2 of 100Reported as group
Quality
70.83
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.24 of 100Reported as group
Quality
88.01
Improvement activities
40
Cost
76.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5393SDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates Prof, LLC Diagnostic Radiology CurrentSince Jul 1, 2004 Accepting new patients
The Imaging Center, LLC Diagnostic Radiology CurrentSince May 4, 2007 Accepting new patients

Locations

2929 5th St
Ste 100
Rapid City, SD 57701
Phone (605) 342-2852

Interoperability endpoints

  • Direct secure messaging: lflynn.8104@regionalhealth.sdhealthlink.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1831149954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 BLUE STEM CT",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577028990",
            "telephone_number": "605-341-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 5TH ST STE 100",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017355",
            "telephone_number": "605-342-2852",
            "fax_number": "605-342-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "LEO",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SD",
            "license": "5393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.