NPIMap

Individual provider Active NPI

Priscilla Faith Bade, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Rapid City, SD
National Provider Identifier
1841283686
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
3651 Issued in SD
Practice address
224 Elk St
Rapid City, SD 57701-7359
Phone
(605) 755-7710
Fax
(605) 755-0700
NPI assigned
Aug 26, 2005
Last updated
Sep 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 3651 SD Primary

Addresses

Primary practice location

224 Elk St
Rapid City, SD 57701-7359

Mailing address

353 Fairmont Blvd
Attn MSS
Rapid City, SD 57701-7375
Phone (605) 755-8107

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
I20100820000606 SD Practitioner - Geriatric MedicinePractitioner - Internal MedicinePractitioner - Hospice/Palliative Care 4082751276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Hospice/Palliative Care, Internal Medicine
Education
Washington University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 755-1000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Rapid City Hospital Inc CurrentSince Jun 3, 2013 Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Jun 3, 2013 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
West River Dermatology, PC Past Accepting new patients
Internal Medicine and Geriatrics Associates, LLP Geriatric Medicine Past Accepting new patients
Saint Cloud SD Skilled Nursing Facility LLC Past Accepting new patients
The Evangelical Lutheran Good Samaritan Society Past Accepting new patients
Arrowhead SD Skilled Nursing Facility LLC Past Accepting new patients

Locations

1015 Mountain View Rd
Rapid City, SD 57702
Phone (605) 343-5882

1620 N 7th St
Rapid City, SD 57701
Phone (605) 343-4958

2000 Wesleyan Blvd
Rapid City, SD 57702
Phone (605) 343-3555

224 Elk St
Rapid City, SD 57701
Phone (605) 719-1000

2500 Arrowhead Dr
Rapid City, SD 57702
Phone (317) 370-2013

255 Texas St
Rapid City, SD 57701
Phone (605) 342-0255

302 Saint Cloud St
Rapid City, SD 57701
Phone (605) 343-4738

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

640 Flormann St
Rapid City, SD 57701
Phone (605) 341-3140

916 Mountain View Rd
Rapid City, SD 57702
Phone (605) 343-4958

Interoperability endpoints

  • Direct secure messaging: pbade.7643@regionalhealth.sdhealthlink.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Good Samaritan Society - St Martin VillageRapid City, SD, CCN 435134 Skilled nursing facility Contracted Managing Employee Jul 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1841283686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 FAIRMONT BLVD",
            "address_2": "ATTN MSS",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017375",
            "telephone_number": "605-755-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 ELK ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017359",
            "telephone_number": "605-755-7710",
            "fax_number": "605-755-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADE",
        "first_name": "PRISCILLA",
        "middle_name": "FAITH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-26",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "SD",
            "license": "3651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.