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NORTH CENTRAL HEART A DIVISION OF AVERA HEART HOSPITAL
NPI 1407109705
Internal Medicine - Cardiovascular Disease in Sioux Falls, SD

Active since October 24, 2012
4520 W 69TH ST, SIOUX FALLS, SD 57108(605) 977-5000(605) 977-5377 Get Directions Write a Review

NPPES record last updated: October 24, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About North Central Heart A Division Of Avera Heart Hospital NPPES

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

NORTH CENTRAL HEART A DIVISION OF AVERA HEART HOSPITAL (NPI 1407109705) is a healthcare organization registered as a cardiovascular disease in Sioux Falls, South Dakota and active in the NPI registry since October 2012. The organization lists Jon C Soderholm, President, as its authorized official.

NPPES Registry Identity

NPI1407109705
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameHEART HOSPITAL OF SOUTH DAKOTA LLC
Location Address4520 W 69TH STSioux Falls, SD 57108-8148
Mailing Address4500 W 69th StSioux Falls, SD 57108-8148 · (605) 977-7000 · Fax (605) 977-7001
Phone(605) 977-5000
Fax(605) 977-5377
Organization SubpartYes
Authorized OfficialJon C SoderholmPresident · (605) 977-7005
Enumeration DateOctober 24, 2012
✔ NPI 1407109705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in SD · 41953
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 Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X · License 41953 (SD)
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 41953 (SD)
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License 41953 (SD)
Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X · License 41953 (SD)
4520 W 69TH ST, Sioux Falls, SD 57108
Open in Google Maps ↗

Other Names 1

Doing Business AsNorth Central Heart A Division Of Avera Heart Hospital

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Central Heart A Division Of Avera Heart Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

61

Medicare enrollment records show 61 clinicians reassign Medicare billing to North Central Heart A Division Of Avera Heart Hospital, which bills Medicare for the services they deliver. Of these, 51 practice at this address and 55 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Nurse Practitioner26
Cardiovascular Disease (Cardiology)12
Cardiac Surgery6
Interventional Cardiology6
Advanced Heart Failure and Transplant Cardiology3
Cardiac Electrophysiology3
Vascular Surgery2
Internal Medicine1
2 other specialties2

Nearest to this location (20)

See all 61
Kathryn Adams, CNP
Nurse Practitioner
NPI 1437668027
4520 W 69TH ST
Sioux Falls, SD 57108
(605) 977-5000
✔ PECOS✔ Accepts MedicareSame address
Raymond Allen, MD
Interventional Cardiology
NPI 1396733705
4520 W 69TH ST
Sioux Falls, SD 57108
(605) 977-5000
✔ PECOSSame address
Fawzi Ameer, M.D.
Cardiovascular Disease (Cardiology)
NPI 1790195402
4520 W 69TH ST
Sioux Falls, SD 57108
(605) 977-5000
✔ PECOS✔ Accepts MedicareSame address
Fnu Ayesha Azmeen, MD
Advanced Heart Failure and Transplant Cardiology
NPI 1588152540
4520 W 69TH ST
Sioux Falls, SD 57108
(605) 977-5000
✔ PECOS✔ Accepts MedicareSame address
Holli Baan Hofman, CNP
Nurse Practitioner
NPI 1134615255
4520 W 69TH ST
Sioux Falls, SD 57108
(605) 977-5000
✔ PECOS✔ Accepts MedicareSame address
John Bacharach, MD
Peripheral Vascular Disease
NPI 1972566172
4520 W 69TH ST
Sioux Falls, SD 57108
(605) 977-5000
✔ PECOS✔ Accepts MedicareSame address
Anurag Bajaj, M.D.
Internal Medicine
NPI 1093955148
4520 W 69TH ST
Sioux Falls, SD 57108
(605) 977-5000
✔ PECOS✔ Accepts MedicareSame address
Sherrie Brooks, D.O.,FACC,FACOI
Cardiovascular Disease (Cardiology)
NPI 1720060858
4520 W 69TH ST
Sioux Falls, SD 57108
(605) 977-5000
✔ PECOS✔ Accepts MedicareSame address
Lisa Chase, CNP
Nurse Practitioner
NPI 1508570862
4520 W 69TH ST
Sioux Falls, SD 57108
(605) 977-5000
✔ PECOS✔ Accepts MedicareSame address
Daniel Couri, M.D.
Cardiovascular Disease (Cardiology)
NPI 1639142664
4520 W 69TH ST
Sioux Falls, SD 57108
(605) 977-5000
✔ PECOS✔ Accepts MedicareSame address
Brian Duxbury, DO
Cardiac Surgery
NPI 1093210965
4520 W 69TH ST
Sioux Falls, SD 57108
(605) 977-5000
✔ PECOS✔ Accepts MedicareSame address
Mark Fleming, MD
Vascular Surgery
NPI 1841255932
4520 W 69TH ST
Sioux Falls, SD 57108
(605) 977-5000
✔ PECOS✔ Accepts MedicareSame address
Sean Halligan, MD
Interventional Cardiology
NPI 1174504658
4520 W 69TH ST
Sioux Falls, SD 57108
(605) 977-5000
✔ PECOS✔ Accepts MedicareSame address
Orvar Jonsson, MD
Advanced Heart Failure and Transplant Cardiology
NPI 1831302009
4520 W 69TH ST
Sioux Falls, SD 57108
(605) 977-5000
✔ PECOS✔ Accepts MedicareSame address
Tarek Mahrous, MD
Interventional Cardiology
NPI 1225046436
4520 W 69TH ST
Sioux Falls, SD 57108
(605) 977-5000
✔ PECOS✔ Accepts MedicareSame address
Christopher Stanton, M.D.
Cardiac Electrophysiology
NPI 1457323081
4520 W 69TH ST
Sioux Falls, SD 57108
(605) 977-5000
✔ PECOS✔ Accepts MedicareSame address
Jonathon Adams, MD
Cardiac Electrophysiology
NPI 1578683249
4520 W 69TH ST
Sioux Falls, SD 57108
(605) 977-5000
✔ PECOS✔ Accepts MedicareSame address
Steven Feldhaus, M.D.
Cardiac Surgery
NPI 1649385451
4520 W 69TH ST
Sioux Falls, SD 57108
(605) 977-5000
✔ PECOSSame address
Paul Meyer, MD
Cardiac Surgery
NPI 1134174865
4520 W 69TH ST
Sioux Falls, SD 57108
(605) 977-5000
✔ PECOS✔ Accepts MedicareSame address
Dustin Weiss, M.D.
Vascular Surgery
NPI 1164615738
4520 W 69TH ST
Sioux Falls, SD 57108
(605) 977-5000
✔ PECOS✔ Accepts MedicareSame address
See all 61 clinicians

Source: 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 Heart Hospital Of South Dakota LLC's NPI number?

The NPI number for Heart Hospital Of South Dakota LLC is 1407109705. It was assigned to this organization in the NPPES registry on October 24, 2012. The provider is doing business as North Central Heart A Division Of Avera Heart Hospital.

Where is Heart Hospital Of South Dakota LLC located?

Heart Hospital Of South Dakota LLC is located at 4520 W 69th St, Sioux Falls, SD 57108. The listed phone number is (605) 977-5000.

What is Heart Hospital Of South Dakota LLC's specialty?

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

Is Heart Hospital Of South Dakota LLC enrolled in Medicare?

Yes. Heart Hospital Of South Dakota LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Heart Hospital Of South Dakota LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 61 clinicians in 10 Medicare specialties reassign their Medicare billing to Heart Hospital Of South Dakota LLC. 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 (26), Cardiovascular Disease (Cardiology) (12) and Cardiac Surgery (6). Of these, 51 practice at this address and 55 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Heart Hospital Of South Dakota LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan and Avera Health Plans list Heart Hospital Of South Dakota LLC 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 Heart Hospital Of South Dakota LLC was last updated on October 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.