NPIMap

Individual provider Active NPI

Jennifer Jean Tinguely, MD

  • Family Medicine Physician
  • Sioux Falls, SD
National Provider Identifier
1942505102
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9169 Issued in SD
Practice address
521 N Main Ave
Sioux Falls, SD 57104-5948
Phone
(605) 367-8793
Fax
(605) 367-8247
NPI assigned
Jan 20, 2011
Last updated
Jul 21, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9169 SD Primary

Addresses

Primary practice location

521 N Main Ave
Sioux Falls, SD 57104-5948

Mailing address

521 N Main Ave
Sioux Falls, SD 57104-5948
Phone (605) 367-8793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141104000846 SD Practitioner - Family Practice 0547499808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Sanford School of Medicine of University of South Dakota, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of Sioux FallsGroup PAC ID 7810943859, 21 clinicians

Practice addresses (Care Compare)

521 N Main Ave
Suite 100
Sioux Falls, SD 57104-5947
Phone (605) 367-8793

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0119SDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
City of Sioux Falls CurrentSince Jul 14, 2014 Accepting new patients
City of Sioux Falls CurrentSince Jul 14, 2014 Accepting new patients
City of Sioux Falls Current Accepting new patients

Locations

1722 E 8th St
Sioux Falls, SD 57103
Phone (605) 367-8793

410 N Valley View Rd
Sioux Falls, SD 57107
Phone (605) 367-8793

521 N Main Ave
Ste 100
Sioux Falls, SD 57104
Phone (605) 367-8029

601 N Spring Ave
Sioux Falls, SD 57104
Phone (605) 321-4879

Organizations & group practices 3

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.

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1942505102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 N MAIN AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571045948",
            "telephone_number": "605-367-8793",
            "fax_number": "605-367-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 N MAIN AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571045948",
            "telephone_number": "605-367-8793",
            "fax_number": "605-367-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINGUELY",
        "first_name": "JENNIFER",
        "middle_name": "JEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-20",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "9169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.