NPIMap

Individual provider Active NPI

George Allen Ceremuga, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Sioux Falls, SD
National Provider Identifier
1992169759
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
12085 Issued in SD
Practice address
1301 S Cliff Ave Ste 401
Sioux Falls, SD 57105-1023
Phone
(605) 322-7300
NPI assigned
Apr 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 62706 MN
Physical Medicine & Rehabilitation Physician 208100000X 12085 SD Primary

Addresses

Primary practice location

1301 S Cliff Ave Ste 401
Sioux Falls, SD 57105-1023

Mailing address

1301 S Cliff Ave Ste 401
Sioux Falls, SD 57105-1023
Phone (605) 322-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201022003910 SD Practitioner - Physical Medicine and Rehabilitation 7911291364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennan 957 clinicians

Practice addresses (Care Compare)

1100 E 21St St
Suite 610
Sioux Falls, SD 57105-1053
Phone (605) 322-8860

1301 S Cliff Ave
Sioux Falls, SD 57105-1023

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

300 22ND Ave
Brookings, SD 57006-2480
Phone (605) 504-1600

6100 S Louise Ave
Sioux Falls, SD 57108-6029

Hospital & facility affiliations

  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016
  • Spencer Municipal Hospital Hospital, Spencer, IA, CCN 160112
  • Avera Merrill Pioneer Hospital Hospital, Rock Rapids, IA, CCN 161321
  • Sioux Center Health Hospital, Sioux Center, IA, CCN 161346
  • Avera Heart Hospital of South Dakota Hospital, Sioux Falls, SD, CCN 430095
  • Avera McKennan Rehabilitation Unit Inpatient rehabilitation facility, Sioux Falls, SD, CCN 43T016

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10285SDMDFamily Medicine Physician
62706MNMDPhysical Medicine & Rehabilitation Physician
12085SDMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan Current Accepting new patients
Avera McKennan Physical Medicine & Rehabilitation CurrentSince Sep 28, 2020 Accepting new patients
Avera McKennan CurrentSince Sep 28, 2020 Accepting new patients
Avera McKennan Past Accepting new patients

Locations

1301 S Cliff Ave
Ste 610
Sioux Falls, SD 57105
Phone (605) 322-8860

1301 S Cliff Ave
Ste 401
Sioux Falls, SD 57105
Phone (605) 322-7300

Organizations & group practices 4

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 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1992169759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S CLIFF AVE STE 401",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051023",
            "telephone_number": "605-322-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S CLIFF AVE STE 401",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051023",
            "telephone_number": "605-322-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEREMUGA",
        "first_name": "GEORGE",
        "middle_name": "ALLEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-07",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MN",
            "license": "62706",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SD",
            "license": "12085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.