HEALTH CONCEPTS
NPI 1295962033
Internal Medicine - Obesity Medicine in Rapid City, SD

NPI Status: Active since June 19, 2009

Contact Information

5410 SHERIDAN LAKE RD
RAPID CITY, SD
ZIP 57702
Phone: (605) 348-4141
Fax: (605) 342-7880

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  • Organization
  • Internal Medicine
  • Obesity Medicine
  • Accepts Insurance

About HEALTH CONCEPTS

This page provides the complete NPI Profile along with additional information for Health Concepts, an internist established in Rapid City, South Dakota operating as a Internal Medicine, focusing in obesity medicine . The healthcare provider is registered in the NPI registry with number 1295962033 assigned on June 2009. The practitioner's primary taxonomy code is 207RB0002X with license number 3782 (SD). The provider is registered as an organization and their NPI record was last updated 13 years ago. Health Concepts operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Health Concepts. The authorized official of this NPI record is Ms. Lisa K Kruse (Billing Manager)

NPI
1295962033
Provider Legal Name
HEALTH CONCEPTS WELLNESS CARE LLC
Other Organization Name
HEALTH CONCEPTS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5410 SHERIDAN LAKE RD RAPID CITY, SD 57702
Location Phone
(605) 348-4141
Location Fax
(605) 342-7880
Mailing Address
5410 SHERIDAN LAKE RD RAPID CITY, SD 57702
Mailing Phone
(605) 348-4141
Mailing Fax
(605) 342-7880
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-19-2009
Last Update Date
05-16-2013
Code Navigator

An internist like Health Concepts is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Obesity Medicine

Taxonomy Code
207RB0002X
Type
Allopathic & Osteopathic Physicians
License No.
3782
License State
SD
Taxonomy Description
An internal medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208600000XAllopathic & Osteopathic Physicians

Surgery

4681 (SD)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • ConnectPlus $0 Gold - PPO
  • ConnectPlus $0 Silver - PPO
  • ConnectPlus $10,600 HSA Eligible HDHP - PPO
  • ConnectPlus $1800 - PPO
  • ConnectPlus $4500 - PPO
  • ConnectPlus $6500 HSA Eligible HDHP - PPO
  • ConnectPlus $7500 HSA Eligible HDHP - PPO
  • ConnectPlus MyWeighForward $2000 - PPO
  • ConnectPlus MyWeighForward $6000 - PPO
  • ConnectPlus Standard $2000 - PPO
  • ConnectPlus Standard $6000 - PPO
  • ConnectPlus Standard $7500 HSA Eligible HDHP - PPO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - HMO
  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Medica Insure Bronze Premier - EPO
  • Medica Insure Bronze Share - EPO
  • Medica Insure Expanded Bronze Standard - EPO
  • Medica Insure Gold $0 Copay PCP Visits - EPO
  • Medica Insure Gold Share - EPO
  • Medica Insure Gold Standard - EPO
  • Medica Insure Silver $0 Copay PCP Visits - EPO
  • Medica Insure Silver Share - EPO
  • Medica Insure Silver Standard - EPO
  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $10,600 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,500 - PPO
  • Sanford Individual Simplicity $7,200 HSA Qualified - PPO
  • Sanford Individual Simplicity Standardized $2,000 - PPO
  • Sanford Individual Simplicity Standardized $6,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. LISA K KRUSE

Authorized Official Title
BILLING MANAGER
Authorized Official Phone
(605) 721-5036

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
S103420MEDICARE PIN (08)SD 
6443050001MEDICARE NSC (07)SD 

Reviews for HEALTH CONCEPTS

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1295962033, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 9 → 18 → 9 2 → 4 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 8 + 5 + 1 + 8 + 6 + 4 + 0 + 6 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1295962033.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Family Medicine
5410 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Internal Medicine
5410 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Nurse Practitioner (Acute Care)
5410 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Emergency Medicine
5410 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Plastic Surgery
5410 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Family Medicine
5410 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Nurse Practitioner (Family)
5410 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Physician Assistant
5410 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Nurse Practitioner (Women's Health)
5410 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Nurse Practitioner (Family)
5410 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Family Medicine
5410 SHERIDAN LAKE RD
RAPID CITY, SD 57702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295962033, enumerated as an "organization" on June 19, 2009.

The provider is located at 5410 SHERIDAN LAKE RD RAPID CITY, SD 57702 and the phone number is (605) 348-4141.

Internal Medicine with taxonomy code 207RB0002X and a focus in Obesity Medicine.

The provider might be accepting Accepts: Avera Health Plans, Medica, Sanford Health Plan,. Please consult your insurance carrier or call the provider to verify.