David Lee Kallas, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

CR000784 Issued in SD

Practice address

47316 Rogness PL
Renner, SD 57055-6526

Phone

(605) 310-6735

NPI assigned

May 23, 2012

Last updated

May 23, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN, SD2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Avera MarshallGroup PAC ID 5799695227, 102 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avera Marshall Regional Medical Ctr Hospital, Marshall, MN, CCN 241359

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Avera Marshall

  dba Avera Marshall Regional Medical Center

  • Critical Access Hospital
  • Marshall, MN
  • NPI 1568401016
  Medicare reassignment Care Compare group NPD
• Avera St Marys

  dba Avera St. Mary's Hospital

  • General Acute Care Hospital
  • Pierre, SD
  • NPI 1669457180
  Medicare reassignment NPD
• Huron Regional Medical Center Inc

  • Critical Access Hospital
  • Huron, SD
  • NPI 1154312429
  Medicare reassignment NPD
• Sacred Heart Health Services

  dba Avera Sacred Heart Hospital

  • Emergency Care Clinic/Center
  • Yankton, SD
  • NPI 1861611683
  Medicare reassignment NPD
• TTB Services Prof LLC

  • Certified Registered Nurse Anesthetist
  • Sioux Falls, SD
  • NPI 1962743492

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Pipestone County Medical Center

  • Critical Access Hospital
  • Pipestone, MN
  • NPI 1447300587
  Medicare reassignment NPD
• Black Hills Surgical Hospital, LLC

  dba Black Hills Surgical Hospital

  • Urgent Care Clinic/Center
  • Rapid City, SD
  • NPI 1336009646
  Medicare reassignment
• Avera St Marys

  dba Avera St Marys Hospital ER CRNA

  • Emergency Medicine Physician
  • Pierre, SD
  • NPI 1073305496

  Nurse Anesthetist, Certified Registered

  NPD
• Avera St Marys

  dba Avera Pierre Clinic

  • Multi-Specialty Clinic/Center
  • Pierre, SD
  • NPI 1720326713
  NPD
• Black Hills Surgical Hospital, LLC

  dba Black Hills Urgent Care

  • Urgent Care Clinic/Center
  • Rapid City, SD
  • NPI 1124385554
  NPD
• Black Hills Surgical Hospital, LLC

  • Special Hospital
  • Rapid City, SD
  • NPI 1376896621
  NPD
• Black Hills Surgical Hospital, LLC

  • Anesthesiology Physician
  • Rapid City, SD
  • NPI 1972630275
  NPD

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

• Avera Marshall

  dba Avera Marshall Regional Medical Center

  • Critical Access Hospital
  • Marshall, MN
  • NPI 1568401016
  Care Compare affiliation

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1902166911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47316 ROGNESS PL",
            "city": "RENNER",
            "state": "SD",
            "postal_code": "570556526",
            "telephone_number": "605-310-6735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47316 ROGNESS PL",
            "city": "RENNER",
            "state": "SD",
            "postal_code": "570556526",
            "telephone_number": "605-310-6735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLAS",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SD",
            "license": "CR000784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Renee Meyer

• Certified Registered Nurse Anesthetist in Renner, SD
• Providers in Renner, SD by specialty
• Certified Registered Nurse Anesthetist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.