AVERA MCKENNAN
NPI 1053680678
Radiology - Diagnostic Radiology in Sioux Falls, SD
About Avera Mckennan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVERA MCKENNAN (NPI 1053680678), doing business as Avera Interventional Radiology, is a healthcare organization registered as a diagnostic radiology in Sioux Falls, South Dakota and active in the NPI registry since December 2011. The organization maintains a secondary practice location in Sioux Falls and lists Ronald Place, President/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 3
Secondary Practice Location 1
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Avera Mckennan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
1,409Medicare enrollment records show 1,409 clinicians reassign Medicare billing to Avera Mckennan, which bills Medicare for the services they deliver. Of these, 194 practice at this address and 768 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 60
Nearest to this location (20)
See all 1,409Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1053680678. It was assigned to this organization in the NPPES registry on December 28, 2011. The provider is doing business as Avera Interventional Radiology, Avera Medical Group Radiology Sioux Falls and Avera Radiology.
Where is Avera Mckennan located?
Avera Mckennan is located at 1325 S Cliff Ave, Sioux Falls, SD 57105. The listed phone number is (605) 322-1600.
What is Avera Mckennan's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Avera Mckennan enrolled in Medicare?
Yes. Avera Mckennan is registered in the Medicare PECOS enrollment system.
When is Avera Mckennan's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Dakota, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Avera Mckennan?
According to the CMS Revalidation Reassignment List (October 2026 release), 1,409 clinicians in 60 Medicare specialties reassign their Medicare billing to Avera Mckennan. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (292), Family Practice (130) and Certified Registered Nurse Anesthetist (CRNA) (115). Of these, 194 practice at this address and 768 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Avera Mckennan accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Avera Health Plans and Sanford Health Plan 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 May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Avera Mckennan · NPI 1053680678
Diagnostic Radiology organization in Sioux Falls, South Dakota. Organization record, active in the CMS NPPES registry since December 28, 2011.
## Identity
- **NPI:** 1053680678 (Entity type: Organization)
- **Enumerated:** December 28, 2011
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Also known as:** Avera Interventional Radiology (Doing Business As); Avera Medical Group Radiology Sioux Falls (Doing Business As); Avera Radiology (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Ronald Place, PRESIDENT/CEO
## Practice location
- **Address:** 1325 S CLIFF AVE, Sioux Falls, SD 57105-1007
- **Phone:** (605) 322-1600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, North Dakota, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1,409 clinicians in 60 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (292), Family Practice (130), Certified Registered Nurse Anesthetist (CRNA) (115); 194 practice at this address and 768 within 10 miles; [full list](https://npiprofile.com/npi/1053680678/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 20, 2026
- **Other identifiers:** Other CE0909 (SD); Other CG9797 (SD)
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Source: [NPI Profile](https://npiprofile.com/npi/1053680678) · Data from the CMS NPPES public registry.