NAVEEN RAJPUROHIT M.D.
NPI 1235369950
Internal Medicine - Cardiovascular Disease in Sioux Falls, SD

Active since July 15, 2009PECOS EnrolledAccepts Medicare Assignment
77.99/100
CMS Quality Rating
1301 W 18TH ST, SIOUX FALLS, SD 57105(605) 312-2200(605) 312-2205 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 22, 2022, Jul 21, 2022, Jul 13, 2017 (3 updates tracked since 2017).

About Naveen Rajpurohit M.d. NPPES

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

NAVEEN RAJPUROHIT M.D. (NPI 1235369950) is an individual cardiovascular disease provider in Sioux Falls, South Dakota, licensed in South Dakota (8419) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1235369950
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameNAVEEN RAJPUROHITCredential: M.D.
Location Address1301 W 18TH STSioux Falls, SD 57105-0401
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-8327
Fax(605) 312-2205
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 15, 2009
Last NPPES UpdateSeptember 22, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2022
NPI 1235369950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in SD · 8419
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License T2009009823 (MO)
1301 W 18TH ST, Sioux Falls, SD 57105

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Naveen Rajpurohit M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335379197
PECOS Enrollment IDI20141227000119
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 39

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
597 services576 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
577 services456 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
515 services395 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
493 services206 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
254 services134 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
245 services219 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Sanford Hospital Webster - Cah

Critical Access Hospitals · Webster, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431311
Location1401 W First St Post Office Box 489Webster, SD 57274 · Day County
Emergency services

Sanford Canton-Inwood Medical Center - Cah

Critical Access Hospitals · Canton, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431333
Location440 North Hiawatha DriveCanton, SD 57013 · Lincoln County
Emergency services

Huron Regional Medical Center

Critical Access Hospitals · Huron, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431335
Location172 Fourth Street SEHuron, SD 57350 · Beadle County
Emergency services

Coteau Des Prairies Health Care System

Critical Access Hospitals · Sisseton, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431339
Location205 Orchard DrSisseton, SD 57262 · Roberts County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.13
Promoting Interoperability99
Improvement Activities40
Cost47.35

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner
1301 W 18TH ST
SIOUX FALLS, SD 57105
Internal Medicine (Cardiovascular Disease)
1301 W 18TH ST
SIOUX FALLS, SD 57105
Nurse Practitioner (Family)
1301 W 18TH ST
SIOUX FALLS, SD 57105
Nurse Practitioner
1301 W 18TH ST
SIOUX FALLS, SD 57105
Internal Medicine (Cardiovascular Disease)
1301 W 18TH ST
SIOUX FALLS, SD 57105
Nurse Practitioner
1301 W 18TH ST
SIOUX FALLS, SD 57105
Physician Assistant
1301 W 18TH ST
SIOUX FALLS, SD 57105
Physician Assistant
1301 W 18TH ST
SIOUX FALLS, SD 57105

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 Naveen Rajpurohit's NPI number?

The NPI number for Naveen Rajpurohit is 1235369950. It was assigned to this individual provider in the NPPES registry on July 15, 2009.

Where is Naveen Rajpurohit located?

Naveen Rajpurohit practices at 1301 W 18th St, Sioux Falls, SD 57105. The listed phone number is (605) 312-2200.

What is Naveen Rajpurohit's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Naveen Rajpurohit enrolled in Medicare?

Yes. Naveen Rajpurohit is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Naveen Rajpurohit accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Naveen Rajpurohit 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.

Is Naveen Rajpurohit affiliated with any hospitals?

According to CMS data, Naveen Rajpurohit is affiliated with Sanford Usd Medical Center, Sanford Hospital Webster - Cah, Sanford Canton-Inwood Medical Center - Cah, Huron Regional Medical Center and Coteau Des Prairies Health Care System.

When was this NPI record last updated?

The NPPES record for Naveen Rajpurohit was last updated on September 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.