Active NPI
Jason Dean Fowler, M.D., PH.D.
- Plastic Surgery Physician
- Sioux Falls, SD
National Provider Identifier
1851690697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 56875
- Practice address
- 1417 S Cliff Ave Ste 200
Sioux Falls, SD 57105-1009 - Phone
- (605) 322-4130
- NPI assigned
- Mar 18, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 56875 | MN | Primary |
Addresses
Primary practice location
1417 S Cliff Ave Ste 200
Sioux Falls, SD 57105-1009
Mailing address
1417 S Cliff Ave Ste 200
Sioux Falls, SD 57105-1009
Phone (605) 322-4130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140522002191 | MN | Practitioner - Plastic and Reconstructive Surgery | 7618120700 | |
| I20221025002773 | SD | Practitioner - Plastic and Reconstructive Surgery | 7618120700 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- University of Minnesota Medical School, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Avera McKennan
Practice addresses (Care Compare)
1325 S Cliff Ave
Sioux Falls, SD 57105-1007
1417 S Cliff Ave
Suite 201
Sioux Falls, SD 57105-1009
Phone (605) 322-3666
901 E Virgil Ave
Milbank, SD 57252-2124
Phone (605) 432-4538
Hospital & facility affiliations
- Avera McKennan Hospital & University Health Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 25 |
| Melanoma (skin cancer) excision | 48 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Advanced Surgical Associates of Northern Minnesota PLLC | Plastic Surgery | Past | Accepting new patients |
Locations
1417 S Cliff Ave
Ste 200
Sioux Falls, SD 57105
Phone (605) 322-4130
Interoperability endpoints
- https://api.platform.athenahealth.com/22569/brand/1/csg/1/fhir/r4
- jason.fowler@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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
SD
-
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
-
- Otolaryngology Physician
- Sioux Falls, SD
- NPI 1316601743
-
- Surgery Physician
- Hibbing, MN
- NPI 1033725197
Plastic Surgery
Hospital & facility affiliations 23
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Endocrinology, Diabetes & Metabolism Physician
- Sioux Falls, SD
- NPI 1396711016
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1851690697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1417 S CLIFF AVE STE 200",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051009",
"telephone_number": "605-322-4130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1417 S CLIFF AVE STE 200",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051009",
"telephone_number": "605-322-4130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "JASON",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-18",
"last_updated": "2022-09-28",
"certification_date": "2022-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MN",
"license": "56875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.