Individual provider Active NPI

Kevin J Vaska, MD

  • Cardiovascular Disease Physician
  • Sioux Falls, SD
National Provider Identifier
1891782645
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
1537 Issued in SD
Practice address
6709 S Minnesota Ave Ste 101
Sioux Falls, SD 57108-2593
Phone
(605) 274-6300
Fax
(877) 616-4723
NPI assigned
Oct 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 27508-020 WI
Cardiovascular Disease Physician 207RC0000X 29328 IA
Cardiovascular Disease Physician 207RC0000X 1537 SD Primary

Addresses

Primary practice location

6709 S Minnesota Ave Ste 101
Sioux Falls, SD 57108-2593

Mailing address

6709 S Minnesota Ave Ste 101
Sioux Falls, SD 57108-2593
Phone (605) 274-6300

Other identifiers 6

IdentifierTypeStateIssuer
29269OtherIABCBS
P00380386OtherRAILROAD MEDICARE
4993515OtherSDBCBS
304585400MedicaidMN
1975466MedicaidIA
6002432MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, SD, MN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20070207000421 IA Practitioner - Cardiovascular Disease (Cardiology) 3577565365
I20070207000464 SD Practitioner - Cardiovascular Disease (Cardiology) 3577565365 Reassigns benefits to 3 organizations
I20140219001513 MN Practitioner - Cardiovascular Disease (Cardiology) 3577565365 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Sanford School of Medicine of University of South Dakota, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huron Regional Medical Center Inc 45 clinicians

Practice addresses (Care Compare)

Huron, SD 57350
Phone (605) 353-6593

300 S Bruce St
Marshall, MN 56258-1934
Phone (507) 532-9661

506 1St Ave SE
Watertown, SD 57201-4402
Phone (605) 886-8482

Hospital & facility affiliations

  • Huron Regional Medical Center Hospital, Huron, SD, CCN 431335
  • Avera Heart Hospital of South Dakota Hospital, Sioux Falls, SD, CCN 430095
  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29328IAMDCardiovascular Disease Physician
1537SDMDCardiovascular Disease Physician
27508-020WIMDCardiovascular Disease Physician
0470SDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Avera Marshall CurrentSince Apr 1, 2019 Accepting new patients
Huron Laboratory SVC PC Current Accepting new patients
Huron Regional Medical Center Inc CurrentSince Oct 7, 2024 Accepting new patients
Avera Marshall CurrentSince Apr 1, 2019 Accepting new patients
Avera Marshall Current Accepting new patients
Huron Regional Medical Center Inc CurrentSince Oct 7, 2024 Accepting new patients
Women'S Wellness Center, Prof. L.L.C. Past Accepting new patients
University Physician Cardiovascular Disease Past Accepting new patients
Avera McKennan Past Accepting new patients

Locations

300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631

172 4th St SE
Huron, SD 57350
Phone (605) 353-6593

534 Oregon Ave SE
Huron, SD 57350
Phone (605) 353-7660

506 1st Ave SE
Watertown, SD 57201
Phone (605) 884-4247

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3382/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kevin.vaska@sfcardio.directbygreenway.com

Organizations & group practices 14

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 14

Hospital & facility affiliations 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1891782645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6709 S MINNESOTA AVE STE 101",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082593",
            "telephone_number": "605-274-6300",
            "fax_number": "877-616-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6709 S MINNESOTA AVE STE 101",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082593",
            "telephone_number": "605-274-6300",
            "fax_number": "877-616-4723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASKA",
        "first_name": "KEVIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": "27508-020",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IA",
            "license": "29328",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SD",
            "license": "1537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "29269",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00380386",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4993515",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304585400",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1975466",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002432",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.