Active NPI
Arvind B Kasaragod, MD
- Pediatric Critical Care Medicine Physician
- Sioux Falls, SD
National Provider Identifier
1932175221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 4621
- Practice address
- 800 E 21St Street
Sioux Falls, SD 57105-1016 - Phone
- (605) 322-3666
- NPI assigned
- Feb 27, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | 4621 | SD | Primary |
Addresses
Primary practice location
800 E 21St Street
Sioux Falls, SD 57105-1016
Mailing address
PO Box 1450 NW 0090
Minneapolis, MN 55485-0090
Phone (800) 279-1395
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6701413 | Medicaid | SD | |
| 6701410 | Medicaid | SD | |
| 312195000 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4621 | SD | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Past | Accepting new patients | |
| Avera McKennan | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
-
- Critical Access Hospital
- Gregory, SD
- NPI 1275562027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226534400000",
"number": "1932175221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1450 NW 0090",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554850090",
"telephone_number": "800-279-1395",
"fax_number": "517-694-6441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E 21ST STREET",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051016",
"telephone_number": "605-322-3666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASARAGOD",
"first_name": "ARVIND",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2008-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "SD",
"license": "4621",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6701413",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6701410",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "312195000",
"state": "MN"
}
],
"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 Nov 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.