NPIMap

Individual provider Active NPI

Govarthanan Rajendiran, M.D.

  • Hepatology Physician
  • Sioux Falls, SD
National Provider Identifier
1962633966
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hepatology PhysicianTaxonomy code 207RI0008X
License
9061 Issued in SD
Practice address
1205 S Grange Ave Ste 501
Sioux Falls, SD 57105-0407
Phone
(605) 328-8500
Fax
(605) 328-8501
NPI assigned
Aug 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hepatology Physician 207RI0008X 9061 SD Primary

Addresses

Primary practice location

1205 S Grange Ave Ste 501
Sioux Falls, SD 57105-0407

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other practice location 1

1305 W 18th St
Sioux Falls, SD 57105-0401
Phone (605) 328-4973

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140709001118 SD Practitioner - Other (Physician)Practitioner - Internal MedicinePractitioner - Hospitalist 8325294259 Reassigns benefits to 2 organizations
I20240914000326 MO Practitioner - Internal Medicine 8325294259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undefined Physician Type (Specify)Also: Hospitalist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical CenterGroup PAC ID 8325950215, 847 clinicians

Practice addresses (Care Compare)

1205 S Grange Ave
Suite 501
Sioux Falls, SD 57105-0407
Phone (605) 328-8500

Hospital & facility affiliations

  • Sanford Usd Medical Center Hospital, Sioux Falls, SD, CCN 430027
  • Sanford Canby Medical Center Hospital, Canby, MN, CCN 241347
  • Sanford Vermillion Medical Center Hospital, Vermillion, SD, CCN 431336
  • Orange City Area Health System Hospital, Orange City, IA, CCN 161360
  • Sanford Worthington Medical Center Hospital, Worthington, MN, CCN 240022

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as group
Quality
76.07
Promoting interoperability
100
Improvement activities
40
Cost
65.79

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
78.77
Promoting interoperability
100
Improvement activities
40
Cost
70.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9061SDMDHepatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Clinic Current Accepting new patients
Sanford Medical Center CurrentSince Jul 9, 2018 Accepting new patients
Sanford Clinic CurrentSince Jul 9, 2018 Accepting new patients
Saint Luke'S Physician Group Inc CurrentSince Jul 27, 2024 Accepting new patients

Locations

4321 Washington St
Ste 4000
Kansas City, MO 64111
Phone (816) 932-4549

901 E 104th St
Ste 400
Kansas City, MO 64131
Phone (816) 502-8752

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

Organizations & group practices 4

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.

Hospital & facility affiliations 11

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": "1249603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1962633966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 S GRANGE AVE STE 501",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571050407",
            "telephone_number": "605-328-8500",
            "fax_number": "605-328-8501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 W 18th St",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571050401",
            "country_code": "US",
            "telephone_number": "605-328-4973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJENDIRAN",
        "first_name": "GOVARTHANAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-07",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "SD",
            "license": "9061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.