Individual provider Active NPI

Kara Linda Petersen, M.D.

  • Rheumatology Physician
  • Sioux Falls, SD
National Provider Identifier
1851328231
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
5804 Issued in SD
Practice address
6100 S Louise Ave Ste 1130
Sioux Falls, SD 57108-6021
Phone
(605) 504-1600
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 5804 SD Primary

Addresses

Primary practice location

6100 S Louise Ave Ste 1130
Sioux Falls, SD 57108-6021

Mailing address

PO Box 86370
Sioux Falls, SD 57118-6370
Phone (605) 322-7510

Other practice location 1

1301 S. Cliff Ave.
Ste. 300
Sioux Falls, SD 57105-1032
Phone (605) 322-6625

Other identifiers 3

IdentifierTypeStateIssuer
5804OtherSDMEDICAL LICENSE
6631292MedicaidSD
P00383160OtherSDRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061010000799 SD Practitioner - RheumatologyPractitioner - Internal Medicine 0042216392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Sanford School of Medicine of University of South Dakota, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

6100 S Louise Ave
Sioux Falls, SD 57108-6029

6100 S Louise Ave
Suite 1110
Sioux Falls, SD 57108-6030
Phone (605) 322-6700

6100 S Louise Ave
Suite 1130
Sioux Falls, SD 57108-6021
Phone (605) 504-1600

Hospital & facility affiliations

  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016
  • Avera St Mary'S Hospital Hospital, Pierre, SD, CCN 430015
  • Avera Marshall Regional Medical Ctr Hospital, Marshall, MN, CCN 241359
  • Lakes Regional Healthcare Hospital, Spirit Lake, IA, CCN 160124
  • Sioux Center Health Hospital, Sioux Center, IA, CCN 161346

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan Current Accepting new patients
Avera McKennan CurrentSince Nov 3, 2008 Accepting new patients
Avera McKennan Rheumatology CurrentSince Nov 3, 2008 Accepting new patients
Orthopedic Institute PC Past Accepting new patients

Locations

6100 S Louise Ave
Ste 1130
Sioux Falls, SD 57108
Phone (605) 504-1600

1301 S Cliff Ave
Ste 300
Sioux Falls, SD 57105
Phone (605) 322-6625

810 E 23rd St
Sioux Falls, SD 57105
Phone (605) 339-6823

Interoperability endpoints

  • Direct secure messaging: kara.petersen@avera.sdhealthlink.net

Organizations & group practices 4

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 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1851328231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86370",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571186370",
            "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": "6100 S LOUISE AVE STE 1130",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571086021",
            "telephone_number": "605-504-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 S. Cliff Ave.",
            "address_2": "Ste. 300",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571051032",
            "country_code": "US",
            "telephone_number": "605-322-6625",
            "fax_number": "605-322-6626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "KARA",
        "middle_name": "LINDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "SD",
            "license": "5804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "5804",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6631292",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00383160",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.