NPIMap

Individual provider Active NPI

Bhaskar Purushottam, MD

  • Cardiovascular Disease Physician
  • Rapid City, SD
National Provider Identifier
1982804969
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
9505 Issued in SD
Practice address
4150 5TH St
Rapid City, SD 57701-6022
Phone
(605) 755-4300
Fax
(605) 755-1027
NPI assigned
Jul 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MT189705 PA
Cardiovascular Disease Physician 207RC0000X 9505 SD Primary

Addresses

Primary practice location

4150 5TH St
Rapid City, SD 57701-6022

Mailing address

353 Fairmont Blvd
Attn MSS
Rapid City, SD 57701-7350
Phone (267) 516-5143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, NE, WY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20150910001970 SD Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 8921239971 Reassigns benefits to 3 organizations
I20220104000570 NE Practitioner - Interventional Cardiology 8921239971 Reassigns benefits to 2 organizations
I20260127000986 WY Practitioner - Interventional Cardiology 8921239971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Heart and Vascular AssociatesGroup PAC ID 0143745919, 3 clinicians

Practice addresses (Care Compare)

1440 N Main St
Suite 100
Spearfish, SD 57783-1505
Phone (605) 755-7700

2805 5TH St
Suite 200
Rapid City, SD 57701-7386
Phone (917) 231-9971

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 755-8109

501 S Burma Ave
Gillette, WY 82716-3426
Phone (917) 231-9971

825 Centennial Dr
Chadron, NE 69337-9400
Phone (917) 231-9971

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting54
Pacemaker insertion or repair1-10
Varicose vein removal68
Leg revascularization (restoring blood flow)69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9505SDMDCardiovascular Disease Physician
MT189705PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Heart and Vascular Associates Cardiovascular Disease CurrentSince Jan 1, 2025 Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Aug 13, 2015 Accepting new patients
Monument Health Network, Inc. CurrentSince Apr 16, 2016 Accepting new patients
Monument Health Network, Inc. CurrentSince Apr 16, 2016 Accepting new patients
Monument Health Rapid City Hospital, Inc CurrentSince Nov 5, 2021 Accepting new patients
Monument Health Network, Inc. Current Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Aug 13, 2015 Accepting new patients

Locations

825 Centennial Dr
Chadron, NE 69337
Phone (308) 432-4441

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

4150 5th St
Rapid City, SD 57701
Phone (605) 399-4300

2805 5th St
Ste 200
Rapid City, SD 57701
Phone (605) 343-6691

1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000

1420 N 10th St
Spearfish, SD 57783
Phone (605) 642-8414

501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811

Interoperability endpoints

  • Direct secure messaging: bpurushottam.11534@regionalhealth.sdhealthlink.net

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 and National Provider Directory roles.

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1982804969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 FAIRMONT BLVD",
            "address_2": "ATTN MSS",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017350",
            "telephone_number": "267-516-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 5TH ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016022",
            "telephone_number": "605-755-4300",
            "fax_number": "605-755-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURUSHOTTAM",
        "first_name": "BHASKAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT189705",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SD",
            "license": "9505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.