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AVERA MEDICAL GROUP UROGYNECOLOGY SIOUX FALLS
NPI 1003188269
Obstetrics & Gynecology in Sioux Falls, SD

Active since February 03, 2012CLIA Certified · 2 labs
6100 S LOUISE AVE STE 1110, SIOUX FALLS, SD 57108(605) 504-1570 Get Directions Write a Review

NPPES record last updated: November 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 1, 2019, Oct 24, 2018 (2 updates tracked since 2018).

About Avera Medical Group Urogynecology Sioux Falls NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVERA MEDICAL GROUP UROGYNECOLOGY SIOUX FALLS (NPI 1003188269) is a healthcare organization registered as an obstetrics & gynecology in Sioux Falls, South Dakota and active in the NPI registry since February 2012. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Sioux Falls, and lists David Flicek, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1003188269
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameAVERA MCKENNAN
Location Address6100 S LOUISE AVE STE 1110Sioux Falls, SD 57108-6021
Mailing AddressPo Box 86370Sioux Falls, SD 57118-6370 · (605) 322-7510 · Fax (605) 322-6475
Phone(605) 504-1570
Organization SubpartNo
Authorized OfficialDavid FlicekCeo/president · (605) 322-8000
Enumeration DateFebruary 3, 2012
Last NPPES UpdateNovember 1, 20192 updates tracked since enumeration
✔ NPI 1003188269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
6100 S LOUISE AVE STE 1110, Sioux Falls, SD 57108
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Other Names 1

Doing Business AsAvera Medical Group Urogynecology Sioux Falls

Secondary Practice Location 1

Location 11417 S. Cliff Ave., Ste. 101ASioux Falls, SD 57105-1063 · Phone (605) 322-6700 · Fax (605) 322-6701

Other Identifiers 1

OtherCE0909SD · Rr Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 43D2175594

Avera Medical Group Urogynecology · Sioux Falls, SD
Active · expires Nov 24, 2027
CLIA Number43D2175594
Laboratory TypePhysician Office
Certificate Effective DateNovember 25, 2025
Certificate Expiration DateNovember 24, 2027
Laboratory DirectorJenna Kobernusz
Laboratory Phone(605) 504-1900
Laboratory LocationAvera Medical Group Urogynecology6100 South Louise Avenue Suite 1110, Sioux Falls, SD 57108
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 43D0658878

Avera Mckennan Hospital · Sioux Falls, SD
Active · expires Feb 27, 2027
CLIA Number43D0658878
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Raed A. Sulaiman
Laboratory Phone(605) 322-7123
Laboratory LocationAvera Mckennan Hospital1301 South Cliff Avenue Box 5045, Sioux Falls, SD 57105
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TABITHA MARIE AMMANN DNP, CNP
Nurse Practitioner (Family)
6100 S LOUISE AVE STE 1110
SIOUX FALLS, SD 57108
Lincoln County (605) 504-1900
MARISSA EICH CNP
Family Medicine
6100 S LOUISE AVE STE 1110
SIOUX FALLS, SD 57108
Lincoln County (605) 504-1900
CHRISTINA JEAN PEKOSKE
Physician Assistant
6100 S LOUISE AVE STE 1110
SIOUX FALLS, SD 57108
Lincoln County (605) 504-1900
DR. MATTHEW ALDERSON BARKER M.D.
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
6100 S LOUISE AVE STE 1110
SIOUX FALLS, SD 57108
Lincoln County (605) 504-1900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avera Mckennan's NPI number?

The NPI number for Avera Mckennan is 1003188269. It was assigned to this organization in the NPPES registry on February 3, 2012. The provider is doing business as Avera Medical Group Urogynecology Sioux Falls.

Where is Avera Mckennan located?

Avera Mckennan is located at 6100 S Louise Ave Ste 1110, Sioux Falls, SD 57108. The listed phone number is (605) 504-1570.

What is Avera Mckennan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Avera Mckennan hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Avera Mckennan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 1 other insurer list Avera Mckennan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Avera Mckennan was last updated on November 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.