NPIMap

Individual provider Active NPI

James Anthony Breit, MD

  • Plastic and Reconstructive Surgery Physician
  • Sioux Falls, SD
National Provider Identifier
1972582021
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
5624 Issued in SD
Practice address
4201 South Minnesota Avenue
Ste 112
Sioux Falls, SD 57105-6706
Phone
(605) 335-3349
Fax
(605) 336-8436
NPI assigned
Jan 16, 2006
Last updated
Jun 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 5624 SD Primary
Plastic and Reconstructive Surgery Physician 2086S0122X 34154 IA

Addresses

Primary practice location

4201 South Minnesota Avenue
Ste 112
Sioux Falls, SD 57105-6706

Mailing address

4201 South Minnesota Avenue
Ste 112
Sioux Falls, SD 57105-6706
Phone (605) 335-3349

Other identifiers 4

IdentifierTypeStateIssuer
10025286300MedicaidNE
5248690MedicaidIA
7302040MedicaidSD
717642200MedicaidMN

Other names 1

  • Tony Breit Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, IA2 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
I20050809001142 SD Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 5496784423 Reassigns benefits to 1 organization
I20140624001312 IA Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 5496784423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: General Surgery
Education
Sanford School of Medicine of University of South Dakota, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plastic Surgery Associates of South Dakota, LTDGroup PAC ID 0446289540, 4 clinicians

Practice addresses (Care Compare)

1823 Hwy Blvd
Suite 5
Spencer, IA 51301-2226
Phone (605) 335-3349

4201 S Minnesota Ave
Suite 112
Sioux Falls, SD 57105-6706
Phone (605) 335-3349

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34154IAMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Midwest Medical Inc CurrentSince Jan 4, 2020 Accepting new patients
Rivers Edge Aesthetic Surgery, LLC Past Accepting new patients

Locations

4201 S Minnesota Ave
Ste 112
Sioux Falls, SD 57105
Phone (602) 232-9720

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 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1972582021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 SOUTH MINNESOTA AVENUE",
            "address_2": "STE 112",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056706",
            "telephone_number": "605-335-3349",
            "fax_number": "605-336-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SOUTH MINNESOTA AVENUE",
            "address_2": "STE 112",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056706",
            "telephone_number": "605-335-3349",
            "fax_number": "605-336-8436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREIT",
        "first_name": "JAMES",
        "middle_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "SD",
            "license": "5624",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IA",
            "license": "34154",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025286300",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5248690",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7302040",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "717642200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONY",
            "last_name": "BREIT",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.