Individual provider Active NPI

Dean A Dewald, M.D.

  • Anesthesiology Physician
  • Sioux Falls, SD
National Provider Identifier
1972576023
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
47320 Issued in SD
Practice address
1100 E 26TH St
Sioux Falls, SD 57105-4023
Phone
(605) 338-7098
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 47320 SD Primary

Addresses

Primary practice location

1100 E 26TH St
Sioux Falls, SD 57105-4023

Mailing address

601 S Cliff Ave
Ste a
Sioux Falls, SD 57104-5275
Phone (605) 338-7098

Other identifiers 5

IdentifierTypeStateIssuer
4993021OtherSDBLUE CROSS
456D9DEOtherMNBLUE CROSS
5707290MedicaidSD
642697200MedicaidMN
S101893MedicaidSD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070822001293 SD Practitioner - Anesthesiology 2668425455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Sanford School of Medicine of University of South Dakota, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesiology Associates IncGroup PAC ID 2668364548, 27 clinicians

Practice addresses (Care Compare)

601 S Cliff Ave
Suite a
Sioux Falls, SD 57104-5275
Phone (605) 338-7098

Hospital & facility affiliations

  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016
  • Avera Heart Hospital of South Dakota Hospital, Sioux Falls, SD, CCN 430095
  • Sioux Falls Specialty Hospital Hospital, Sioux Falls, SD, CCN 430090
  • Brookings Health System Hospital, Brookings, SD, CCN 430008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7056SDMDMedical license number
47320SDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiology Associates, Inc. CurrentSince Jul 16, 2007 Accepting new patients
Anesthesiology Associates Past Accepting new patients

Locations

601 S Cliff Ave
Ste A
Sioux Falls, SD 57104
Phone (605) 338-7098

1100 E 26th St
Sioux Falls, SD 57105
Phone (605) 338-7098

910 E 20th St
Sioux Falls, SD 57105
Phone (602) 338-7098

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.

Hospital & facility affiliations 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1972576023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S CLIFF AVE",
            "address_2": "STE A",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571045275",
            "telephone_number": "605-338-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E 26TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571054023",
            "telephone_number": "605-338-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWALD",
        "first_name": "DEAN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SD",
            "license": "47320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4993021",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "456D9DE",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5707290",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "642697200",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "S101893",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.