NPIMap

Individual provider Active NPI

Kathleen Lynne Schneekloth, MD

  • Radiation Oncology Physician
  • Sioux Falls, SD
National Provider Identifier
1891757290
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
4979 Issued in SD
Practice address
1000 E 23Rd St
Ste 100
Sioux Falls, SD 57105-2114
Phone
(605) 322-1625
Fax
(605) 322-1626
NPI assigned
Apr 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 4979 SD Primary

Addresses

Primary practice location

1000 E 23Rd St
Ste 100
Sioux Falls, SD 57105-2114

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
7200674MedicaidSD
7200670MedicaidSD

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
I20050815000484 SD Practitioner - Radiation Oncology 1153351622 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Creighton University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians
Avera St LukesGroup PAC ID 6406764927, 164 clinicians

Practice addresses (Care Compare)

1000 E 23Rd St
Sioux Falls, SD 57105-2114

1000 E 23Rd St
Sioux Falls, SD 57105-2134

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

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

305 S State St
Aberdeen, SD 57401-4527
Phone (605) 622-5100

310 S Penn St
Aberdeen, SD 57401-4553

605 N Foster St
Mitchell, SD 57301-2902
Phone (605) 995-5756

8 E US Hwy 12
Groton, SD 57445-2176
Phone (605) 397-4242

Hospital & facility affiliations

  • Avera St Lukes Hospital, Aberdeen, SD, CCN 430014
  • Sanford Medical Center Aberdeen Hospital, Aberdeen, SD, CCN 430097
  • Avera Sacred Heart Hospital Hospital, Yankton, SD, CCN 430012
  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016
  • Avera St Mary'S Hospital Hospital, Pierre, SD, CCN 430015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4979SDMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera St. Luke'S Current Accepting new patients
Avera McKennan CurrentSince Jun 1, 2011 Accepting new patients
Avera Queen of Peace CurrentSince Jan 1, 2024 Accepting new patients
Avera McKennan Current Accepting new patients
Avera St. Lukes CurrentSince Apr 25, 2017 Accepting new patients
Avera St. Luke'S CurrentSince Apr 25, 2017 Accepting new patients
Avera McKennan CurrentSince Jun 1, 2011 Accepting new patients
Avera Queen of Peace CurrentSince Jan 1, 2024 Accepting new patients
Avera St Lukes Past Accepting new patients
Avera McKennan Past Accepting new patients

Locations

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

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

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

1417 S Minnesota Ave
Sioux Falls, SD 57105
Phone (605) 336-0515

1000 E 23rd St
Ste 100
Sioux Falls, SD 57105
Phone (605) 322-1625

Interoperability endpoints

  • Direct secure messaging: kathleen.schneekloth@directaddress.net

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1891757290",
    "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": "1000 E 23RD ST",
            "address_2": "STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052114",
            "telephone_number": "605-322-1625",
            "fax_number": "605-322-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEEKLOTH",
        "first_name": "KATHLEEN",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "SD",
            "license": "4979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7200674",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7200670",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.