NPIMap

Individual provider Active NPI

Jawad Nazir, MD

  • Infectious Disease Physician
  • Sioux Falls, SD
National Provider Identifier
1972579118
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
5172 Issued in SD
Practice address
6709 S Minnesota Ave Ste 102
Sioux Falls, SD 57108-2593
Phone
(605) 322-7250
Fax
(605) 332-7251
NPI assigned
Feb 27, 2006
Last updated
Aug 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 5172 SD Primary

Addresses

Primary practice location

6709 S Minnesota Ave Ste 102
Sioux Falls, SD 57108-2593

Mailing address

6709 S Minnesota Ave
Ste 102
Sioux Falls, SD 57108-2592
Phone (605) 322-7250

Other identifiers 4

IdentifierTypeStateIssuer
65260800MedicaidMN
0566026MedicaidIA
6004570MedicaidSD
4996034OtherSDBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, TX2 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
I20100709000774 SD Practitioner - Infectious Disease 3274665229 Reassigns benefits to 1 organization
I20180302000655 TX Practitioner - Infectious DiseasePractitioner - Internal Medicine 3274665229 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

6709 S Minnesota Ave
Suite 102
Sioux Falls, SD 57108-2593
Phone (605) 322-7250

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5172SDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Aug 1, 2017 Accepting new patients
Avera McKennan CurrentSince Aug 1, 2017 Accepting new patients
Rosebud Indian Health Service CurrentSince Mar 3, 2018 Accepting new patients
Avera McKennan Current Accepting new patients
Rosebud Indian Health Service CurrentSince Mar 3, 2018 Accepting new patients
Quentin N Burdick Comprehensive Health Care Facility CurrentSince Feb 17, 2018 Accepting new patients

Locations

1300 Hospital Loop
Belcourt, ND 58316

4100 W 150th St
#3
Cleveland, OH 44135

4500 N Lewis Ave
Sioux Falls, SD 57104
Phone (605) 322-2980

6709 S Minnesota Ave
Ste 102
Sioux Falls, SD 57108
Phone (605) 322-7250

Interoperability endpoints

  • Direct secure messaging: jawad.nazir@avera.sdhealthlink.net

Ownership & related parties

All facility ownership & control disclosures 26

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Avera McKennan Hospital and University Health CenterSioux Falls, SD, CCN 430016 Hospital Corporate Director Jul 1, 2020
Milbank Area Hospital/Avera HealthMilbank, SD, CCN 431326 Hospital Corporate Director Jul 1, 2020
Avera Dells Area HospitalDell Rapids, SD, CCN 431331 Hospital Corporate Director Jul 1, 2020
Avera Flandreau HospitalFlandreau, SD, CCN 431310 Hospital Corporate Director Jul 1, 2020
Avera Gregory HospitalGregory, SD, CCN 431338 Hospital Corporate Director Jul 1, 2020
Milbank Area Hospital/Avera Health-SwingbedMilbank, SD, CCN 43Z326 Hospital Corporate Director Jul 1, 2020
Avera Dells Area Hospital SwingbedDell Rapids, SD, CCN 43Z331 Hospital Corporate Director Jul 1, 2020
Avera Flandreau Hospital SwingbedFlandreau, SD, CCN 43Z310 Hospital Corporate Director Jul 1, 2020
Avera McKennan Behavioral Health ServicesSioux Falls, SD, CCN 43S016 Hospital Corporate Director Jul 1, 2020
Avera Gregory Hospital SwingbedGregory, SD, CCN 43Z338 Hospital Corporate Director Jul 1, 2020
Avera Hand County Memorial HospitalMiller, SD, CCN 431337 Hospital Corporate Director Jul 1, 2020
Avera McKennan Hospital and University Health CenterSioux Falls, SD, CCN 43T016 Hospital Corporate Director Jul 1, 2020
Avera Merrill Pioneer HospitalRock Rapids, IA, CCN 16Z321 Hospital Corporate Director Jul 1, 2020
Avera Merrill Pioneer HospitalRock Rapids, IA, CCN 161321 Hospital Corporate Director Jul 1, 2020
Avera Hand County Memorial Hosp- SWBDMiller, SD, CCN 43Z337 Hospital Corporate Director Jul 1, 2020
Avera Rosebud Country Care CenterGregory, SD, CCN 435029 Skilled nursing facility Corporate Director Jul 1, 2020
Avera Prince of PeaceSioux Falls, SD, CCN 435066 Skilled nursing facility Managing Control - Governing Body Jul 1, 2020
Avera Medical Group RevilloRevillo, SD, CCN 433413 Rural health clinic Corporate Director Jul 1, 2020
Avera Medical Group FlandreauFlandreau, SD, CCN 433429 Rural health clinic Corporate Director Jul 1, 2020
Avera Medical Group MilbankMilbank, SD, CCN 433435 Rural health clinic Corporate Director Jul 1, 2020
Avera Medical Group ButteButte, NE, CCN 283814 Rural health clinic Corporate Director Jul 1, 2020
Avera Medical Group WilmotWilmot, SD, CCN 433876 Rural health clinic Corporate Director Jul 1, 2020
Avera Medical Group WaubayWaubay, SD, CCN 433886 Rural health clinic Corporate Director Jul 1, 2020
Avera Medical Group WinnerWinner, SD, CCN 433447 Rural health clinic Corporate Director Jul 1, 2020
Avera Medical Group Rock RapidsRock Rapids, IA, CCN 168507 Rural health clinic Corporate Director Jul 1, 2020
Avera Medical Group GeorgeGeorge, IA, CCN 168561 Rural health clinic Corporate Director Jul 1, 2020

Owned or controlled facilities with NPI records 47

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Avera McKennan

    dba Avera Medical Group Urogynecology Sioux Falls

    • Obstetrics & Gynecology Physician
    • Sioux Falls, SD
    • NPI 1003188269

    Corporate Director

    CMS ownership
  • Avera McKennan

    dba Avera Medical Group Rheumatology Sioux Falls

    • Rheumatology Physician
    • Sioux Falls, SD
    • NPI 1013177393

    Corporate Director

    CMS ownership
  • Avera McKennan

    dba Avera Medical Group University Psychiatry Associates Sioux Falls

    • Psychiatry Physician
    • Sioux Falls, SD
    • NPI 1013980598

    Corporate Director

    CMS ownership
  • Avera McKennan

    dba Avera Medical Group Orthopedics and Sports Medicine

    • Orthopaedic Surgery Physician
    • Sioux Falls, SD
    • NPI 1093262131

    Corporate Director

    CMS ownership
  • Avera McKennan

    dba Avera Medical Group Brain and Spine Institute

    • Neurological Surgery Physician
    • Sioux Falls, SD
    • NPI 1114113693

    Corporate Director

    CMS ownership
  • Avera McKennan

    dba Avera Medical Group Physical Medicine and Rehabilitation Sioux Falls

    • Physical Medicine & Rehabilitation Physician
    • Sioux Falls, SD
    • NPI 1134195332

    Corporate Director

    CMS ownership
  • Avera McKennan

    dba Avera Dells Area Hospital

    • Critical Access Hospital
    • Dell Rapids, SD
    • NPI 1154350064

    Corporate Director

    CMS ownership
  • Avera McKennan

    dba Avera McKennan Hospital and University Health Center - Diabetic Ed

    • General Acute Care Hospital
    • Sioux Falls, SD
    • NPI 1154531630

    Corporate Director

    CMS ownership
  • Avera McKennan
    • Psychiatric Hospital Unit
    • Sioux Falls, SD
    • NPI 1164445250

    Corporate Director

    CMS ownership
  • Avera McKennan
    • General Acute Care Hospital
    • Sioux Falls, SD
    • NPI 1184834764

    Corporate Director

    CMS ownership
  • Avera McKennan

    dba Avera Gastroenterology Sioux Falls

    • Gastroenterology Physician
    • Sioux Falls, SD
    • NPI 1194799882

    Corporate Director

    CMS ownership
  • Avera McKennan

    dba Avera McKennan Hospital and University Health Center - Rehab Unit

    • Rehabilitation Hospital Unit
    • Sioux Falls, SD
    • NPI 1215951629

    Corporate Director

    CMS ownership
View all 47

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1972579118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6709 S MINNESOTA AVE",
            "address_2": "STE 102",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082592",
            "telephone_number": "605-322-7250",
            "fax_number": "605-331-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6709 S MINNESOTA AVE STE 102",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082593",
            "telephone_number": "605-322-7250",
            "fax_number": "605-332-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZIR",
        "first_name": "JAWAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "SD",
            "license": "5172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65260800",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0566026",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6004570",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4996034",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.