Individual provider Active NPI

Preston CC Renshaw, MD

  • Family Medicine Physician
  • Sioux Falls, SD
National Provider Identifier
1922053628
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7173 Issued in SD
Practice address
3401 S Kelley Ave
Sioux Falls, SD 57106-6300
Phone
(888) 782-8346
Fax
(605) 275-6398
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7173 SD Primary
Family Medicine Physician 207Q00000X 24868 ND

Addresses

Primary practice location

3401 S Kelley Ave
Sioux Falls, SD 57106-6300

Mailing address

3401 S Kelley Ave
Sioux Falls, SD 57106-6300
Phone (888) 782-8346

Other identifiers 1

IdentifierTypeStateIssuer
10025621600MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22884NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Rural Health Clinics Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: preston.renshaw@avera.sdhealthlink.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1922053628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 S KELLEY AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571066300",
            "telephone_number": "888-782-8346",
            "fax_number": "605-275-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 S KELLEY AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571066300",
            "telephone_number": "888-782-8346",
            "fax_number": "605-275-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENSHAW",
        "first_name": "PRESTON",
        "middle_name": "CC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "7173",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "24868",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025621600",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.