NPIMap

Individual provider Active NPI

Richard J Conklin, MD

  • Hematology & Oncology Physician
  • Aberdeen, SD
National Provider Identifier
1851394662
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
2823 Issued in SD
Practice address
310 S Penn St
Suite 105
Aberdeen, SD 57401-4553
Phone
(605) 622-8700
Fax
(605) 622-5056
NPI assigned
May 24, 2005
Last updated
Nov 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 2823 SD Primary

Addresses

Primary practice location

310 S Penn St
Suite 105
Aberdeen, SD 57401-4553

Mailing address

PO Box 1460
Aberdeen, SD 57402-1460
Phone (605) 622-5613

Other identifiers 1

IdentifierTypeStateIssuer
6002122MedicaidSD

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
I20050222000575 SD Practitioner - Hematology/Oncology 1254384035 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Vanderbilt University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Conklin Clinics Prof LLCGroup PAC ID 8325391345, 8 clinicians
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

2120 8TH Ave NE
Aberdeen, SD 57401-3242
Phone (605) 725-4772

300 22ND Ave
Brookings, SD 57006-2480
Phone (605) 504-1600

300 W 5TH St
Miller, SD 57362-1238
Phone (605) 853-0158

310 S Penn St
Aberdeen, SD 57401-4553

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Jan 1, 2020 Accepting new patients
Avera St. Luke's Current Accepting new patients
Conklin Clinics, Prof LLC Hematology & Oncology CurrentSince Jan 1, 2020 Accepting new patients
Avera Medical Group Webster CurrentSince Dec 1, 2012 Accepting new patients
Avera McKennan CurrentSince Jan 1, 2020 Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan Past Accepting new patients

Locations

2120 8th Ave NE
Aberdeen, SD 57401
Phone (605) 725-4357

305 S State St
Aberdeen, SD 57401
Phone (605) 229-3000

310 S Pennsylvania St
Ste 105
Aberdeen, SD 57401
Phone (605) 622-5500

620 3rd Ave SE
Aberdeen, SD 57401
Phone (605) 622-2550

400 22nd Ave
Brookings, SD 57006
Phone (605) 692-6236

300 W 5th St
Miller, SD 57362
Phone (605) 853-0158

Interoperability endpoints

  • Direct secure messaging: christopher.nelson@directaddress.net
  • Direct secure messaging: conklinclinics.richardconklin@144588.advancedmd-direct.com
  • Direct secure messaging: richard.conklin@directaddress.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1851394662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1460",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574021460",
            "telephone_number": "605-622-5613",
            "fax_number": "605-622-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S PENN ST",
            "address_2": "SUITE 105",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014553",
            "telephone_number": "605-622-8700",
            "fax_number": "605-622-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "RICHARD",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "SD",
            "license": "2823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002122",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.