Active NPI
Robert Nicholas Santella, M.D.
- Nephrology Physician
- Sioux Falls, SD
National Provider Identifier
1962478651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 3706
- Practice address
- 1315 S Cliff Ave
Ste 2000
Sioux Falls, SD 57105-1058 - Phone
- (605) 322-5800
- Fax
- (605) 322-5801
- NPI assigned
- Feb 23, 2006
- Last updated
- Oct 16, 2018
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 3706 | SD | Primary |
Addresses
Primary practice location
1315 S Cliff Ave
Ste 2000
Sioux Falls, SD 57105-1058
Mailing address
PO Box 86370
Sioux Falls, SD 57118-6370
Phone (605) 322-7510
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118T7SA | Other | MN | BLUE CROSS |
| 22864 | Other | SD | ARAZ/ AMERICA'S PPO |
| 57105P004 | Other | SD | WPS TRICARE |
| 6001142 | Medicaid | SD | |
| 1917534 | Medicaid | IA | |
| 7873 | Other | SD | MIDLANDS CHOICE |
| 3100121 | Other | SD | MEDICA |
| 33395 & 33394 | Other | IA | BLUE CROSS |
| 390008719 | Other | SD | RR MEDICARE |
| 909725200 | Medicaid | MN | |
| 118T7SA | Other | MN | CC SYSTEMS/ BLUE PLUS |
| 25238 | Other | SD | SANFORD HEALTH PLAN |
| 0008495 | Other | SD | BLUE CROSS |
| 3706 | Other | SD | DAKOTACARE |
| 406751028151 | Other | SD | PREFERRED ONE |
| 46022474344 | Medicaid | NE | |
| HP24766 | Other | SD | HEALTHPARTNERS |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3706 | SD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients |
Locations
1325 S Cliff Ave
Ste 2000
Sioux Falls, SD 57105
Interoperability endpoints
- robert.santella@avera.sdhealthlink.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Avera McKennan Behavioral Health Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
-
dba Avera Transplant & Liver Surgery Sioux Falls
- Transplant Surgery Physician
- Sioux Falls, SD
- NPI 1730155425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539648000000",
"number": "1962478651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 86370",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571186370",
"telephone_number": "605-322-7510",
"fax_number": "605-322-6475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 S CLIFF AVE",
"address_2": "STE 2000",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051058",
"telephone_number": "605-322-5800",
"fax_number": "605-322-5801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTELLA",
"first_name": "ROBERT",
"middle_name": "NICHOLAS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2018-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "SD",
"license": "3706",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "118T7SA",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZ/ AMERICA'S PPO",
"identifier": "22864",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WPS TRICARE",
"identifier": "57105P004",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6001142",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1917534",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "7873",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "3100121",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "33395 & 33394",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "390008719",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "909725200",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CC SYSTEMS/ BLUE PLUS",
"identifier": "118T7SA",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SANFORD HEALTH PLAN",
"identifier": "25238",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0008495",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAKOTACARE",
"identifier": "3706",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "406751028151",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "46022474344",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP24766",
"state": "SD"
}
],
"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 Oct 16, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.