Active NPI
Cy B Haatvedt, M.D.
- Surgery Physician
- Huron, SD
National Provider Identifier
1942205489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 3838
- Practice address
- 455 Kansas Ave SE
Huron, SD 57350-2522 - Phone
- (605) 352-8767
- Fax
- (605) 352-8784
- NPI assigned
- Jun 20, 2005
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 3838 | SD | Primary |
Addresses
Primary practice location
455 Kansas Ave SE
Huron, SD 57350-2522
Mailing address
PO Box 1411
Huron, SD 57350-1411
Phone (605) 352-8767
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3838 | Other | SD | DAKOTACARE |
| 0003451 | Other | SD | WELLMARK |
| 7300560 | Medicaid | SD | |
| 020026365 | Other | SD | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100106000859 | SD | Practitioner - General Surgery | 5991770208 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Minnesota Medical School, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Huron Regional Medical Center Inc
Practice addresses (Care Compare)
455 Kansas Ave SE
Huron, SD 57350-2522
Phone (605) 352-8767
Hospital & facility affiliations
- Huron Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 61.99 of 100
- Quality
- 31.99
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3838 | SD | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huron Regional Medical Center Inc | Current | Accepting new patients | |
| Huron Laboratory SVC PC | Current | Accepting new patients | |
| Huron Regional Medical Center, Inc | Current | Accepting new patients |
Locations
455 Kansas Ave SE
Huron, SD 57350
Phone (605) 352-8767
172 4th St SE
Huron, SD 57350
Phone (605) 353-6593
Organizations & group practices 7
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.
-
- Community Based Hospice Care Agency
- Huron, SD
- NPI 1033239587
-
- Home Health Agency
- Huron, SD
- NPI 1457471757
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Huron, SD
- NPI 1568582013
-
- Medicare Defined Swing Bed Hospital Unit
- Huron, SD
- NPI 1407918063
-
- Anatomic Pathology Physician
- Huron, SD
- NPI 1437155744
-
- Critical Access Hospital Clinic/Center
- Huron, SD
- NPI 1376779777
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257206400000",
"number": "1942205489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1411",
"city": "HURON",
"state": "SD",
"postal_code": "573501411",
"telephone_number": "605-352-8767",
"fax_number": "605-352-8784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 KANSAS AVE SE",
"city": "HURON",
"state": "SD",
"postal_code": "573502522",
"telephone_number": "605-352-8767",
"fax_number": "605-352-8784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAATVEDT",
"first_name": "CY",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-20",
"last_updated": "2009-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SD",
"license": "3838",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAKOTACARE",
"identifier": "3838",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "0003451",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7300560",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "020026365",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huron, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.