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AVERA MCKENNAN
NPI 1104892892
Internal Medicine - Nephrology in Sioux Falls, SD

Active since February 23, 2006
810 E 23RD ST STE 403, SIOUX FALLS, SD 57105(605) 322-5800(605) 322-5801 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 12, 2026, Sep 18, 2024, Oct 24, 2018 (3 updates tracked since 2018).

About Avera Mckennan NPPES

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

AVERA MCKENNAN (NPI 1104892892), doing business as Avera Nephrology, is a healthcare organization registered as a nephrology in Sioux Falls, South Dakota and active in the NPI registry since February 2006. The organization lists Ronald J Place, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1104892892
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameAVERA MCKENNAN
Location Address810 E 23RD ST STE 403Sioux Falls, SD 57105-2135
Mailing AddressPo Box 86370Sioux Falls, SD 57118-6370 · (605) 322-7510 · Fax (605) 322-6475
Phone(605) 322-5800
Fax(605) 322-5801
Organization SubpartNo
Authorized OfficialRonald J PlaceCeo/president · (605) 322-7903
Enumeration DateFebruary 23, 2006
Last NPPES UpdateMarch 12, 20263 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
✔ NPI 1104892892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
810 E 23RD ST STE 403, Sioux Falls, SD 57105
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Other Names 2

Doing Business AsAvera Nephrology
Doing Business AsAvera Nephrology Sioux Falls

Other Identifiers 9

Medicaid12903ND
Medicaid0550814IA
Other370624200SD · Dept Of Labor
Other81741SD · Healthpartners
Other0008493SD · Bcbs
Other118T5NOMN · Bcbs
Other031013001MN · Primewest
Other118T5NOMN · Blue Plus
Medicaid210830500MN

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 ›

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 1104892892. It was assigned to this organization in the NPPES registry on February 23, 2006. The provider is doing business as Avera Nephrology and Avera Nephrology Sioux Falls.

Where is Avera Mckennan located?

Avera Mckennan is located at 810 E 23rd St Ste 403, Sioux Falls, SD 57105. The listed phone number is (605) 322-5800.

What is Avera Mckennan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

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 March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.