Individual provider Active NPI

Philip F Meyer, DO

  • Internal Medicine Physician
  • Pierre, SD
National Provider Identifier
1972595981
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
SD4230 Issued in SD
Practice address
1615 N Harrison Ave Ste 2
Pierre, SD 57501-2349
Phone
(605) 945-1710
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4230 SD
Internal Medicine Physician 207R00000X SD4230 SD Primary

Addresses

Primary practice location

1615 N Harrison Ave Ste 2
Pierre, SD 57501-2349

Mailing address

3202 N Frontier Rd
Fort Pierre, SD 57532-2290
Phone (605) 280-9002

Other practice location 1

Black Hills VA Health Care Center
113 Comanche Road
Fort Meade, SD 57741-1002
Phone (605) 347-2511

Other identifiers 2

IdentifierTypeStateIssuer
6003542MedicaidSD
6003540MedicaidSD

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
I20050919000774 SD Practitioner - Internal Medicine 1355334046 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SD4230SDMDInternal Medicine Physician
4230SDMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Care, Inc. CurrentSince Jul 1, 1997 Accepting new patients
Avera McKennan CurrentSince Jan 1, 2009 Accepting new patients
Rural Health Care, Inc CurrentSince Jul 1, 1997 Accepting new patients
Avera McKennan CurrentSince Jan 1, 2009 Accepting new patients
Avera St Marys CurrentSince Oct 1, 2010 Accepting new patients
Avera St Marys CurrentSince Oct 1, 2010 Accepting new patients
Rural Health Care, Inc. Current Accepting new patients
Avera McKennan Current Accepting new patients
Pediatric Hematology Oncology Pharmacy LTC Past Accepting new patients
Pediatric Hematology Clinic LTD Past Accepting new patients

Locations

100 Mac Ln
Pierre, SD 57501
Phone (605) 224-5901

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1972595981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 N FRONTIER RD",
            "city": "FORT PIERRE",
            "state": "SD",
            "postal_code": "575322290",
            "telephone_number": "605-280-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 N HARRISON AVE STE 2",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575012349",
            "telephone_number": "605-945-1710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Black Hills VA Health Care Center",
            "address_2": "113 Comanche Road",
            "address_purpose": "LOCATION",
            "city": "Fort Meade",
            "state": "SD",
            "postal_code": "577411002",
            "country_code": "US",
            "telephone_number": "605-347-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "PHILIP",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SD",
            "license": "4230",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SD",
            "license": "SD4230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003542",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003540",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pierre, SD

Sources for this page

Verify at the official NPI Registry.