AVERA MEDICAL GROUP OPHTHALMOLOGY SIOUX FALLS
NPI 1417246901
Ophthalmology in Sioux Falls, SD

Q: What is Avera Mckennan's NPI number?

The NPI number for Avera Mckennan is 1417246901. It was assigned to this organization in the NPPES registry on April 5, 2011. The provider is doing business as Avera Medical Group Ophthalmology Sioux Falls and Avera Medical Group Eye Care.

Q: What is Avera Mckennan's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Avera Mckennan was last updated on November 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 05, 2011

911 E 20TH ST STE 101, SIOUX FALLS, SD 57105(605) 322-3790(605) 322-3791 Get Directions Write a Review

NPPES record last updated: November 25, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 25, 2019, Nov 14, 2019, Oct 11, 2018 (3 updates tracked since 2018).

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About Avera Medical Group Ophthalmology Sioux Falls NPPES

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

AVERA MEDICAL GROUP OPHTHALMOLOGY SIOUX FALLS (NPI 1417246901) is a healthcare organization registered as an ophthalmology in Sioux Falls, South Dakota and active in the NPI registry since April 2011. The organization lists David Flicek, Senior Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1417246901

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameAVERA MCKENNAN

Location Address911 E 20TH ST STE 101Sioux Falls, SD 57105-1043

Mailing AddressPo Box 86370Sioux Falls, SD 57118-6370 · (605) 322-7510

Phone(605) 322-3790

Fax(605) 322-3791

Organization SubpartNo

Authorized OfficialDavid FlicekSenior Vp Of Finance · (605) 322-7915

Enumeration DateApril 5, 2011

Last NPPES UpdateNovember 25, 20193 updates tracked since enumeration

✔ NPI 1417246901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOptometristTaxonomy 152W00000X

911 E 20TH ST STE 101, Sioux Falls, SD 57105

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Other Names 2

Doing Business AsAvera Medical Group Ophthalmology Sioux Falls

Doing Business AsAvera Medical Group Eye Care

Group Practice 2

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

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Avera Medical Group Ophthalmology Sioux Falls is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,346

Medicare enrollment records show 1,346 clinicians reassign Medicare billing to Avera Medical Group Ophthalmology Sioux Falls, which bills Medicare for the services they deliver. Of these, 21 practice at this address and 768 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 59

Nurse Practitioner292

Family Practice130

Certified Registered Nurse Anesthetist (CRNA)115

Internal Medicine111

Pediatric Medicine80

Physical Therapist in Private Practice67

Obstetrics/Gynecology51

Emergency Medicine49

51 other specialties451

Nearest to this location (20)

See all 1,346

Michael Brozik, MD

General Surgery

NPI 1750680286

911 E 20TH ST STE 700
Sioux Falls, SD 57105

(605) 334-0393

✔ PECOS✔ Accepts MedicareSame address

Jessica Clark, CNP

Nurse Practitioner

NPI 1033981774

911 E 20TH ST STE 300
Sioux Falls, SD 57105

(605) 504-1100

✔ PECOS✔ Accepts MedicareSame address

John Faryna, MD

Orthopedic Surgery

NPI 1164734422

911 E 20TH ST STE 300
Sioux Falls, SD 57105

(605) 504-1100

✔ PECOS✔ Accepts MedicareSame address

Lie Dinah Sandy Ligasaputri, M.D.

Hospice/Palliative Care

NPI 1770966087

911 E 20TH ST STE 400
Sioux Falls, SD 57105

(605) 322-5780

✔ PECOS✔ Accepts MedicareSame address

Jonathan Buchanan, MD

Sports Medicine

NPI 1508185794

911 E 20TH ST STE 300
Sioux Falls, SD 57105

(605) 322-1300

✔ PECOS✔ Accepts MedicareSame address

Kathlyn Drexler, M.D.

Hand Surgery

NPI 1497048896

911 E 20TH ST STE 300
Sioux Falls, SD 57105

(605) 322-1300

✔ PECOS✔ Accepts MedicareSame address

Timothy Metz, MD

Anesthesiology

NPI 1356410161

911 E 20TH ST STE 602
Sioux Falls, SD 57105

(605) 338-7098

✔ PECOS✔ Accepts MedicareSame address

Melissa Jensen, MD

Pediatric Medicine

NPI 1932365525

911 E 20TH ST STE 510
Sioux Falls, SD 57105

(605) 322-3666

✔ PECOSSame address

Troy Rowekamp, DO

Internal Medicine

NPI 1023335577

1325 S CLIFF AVE
Sioux Falls, SD 57105

(605) 322-7645

✔ PECOS✔ Accepts MedicareSame address

Jeffery Steers, MD

Vascular Surgery

NPI 1043209760

1315 S. CLIFF AVE. STE. 1100
Sioux Falls, SD 57105

(605) 322-7350

✔ PECOS✔ Accepts MedicareSame address

Lu Huber, MD

Nephrology

NPI 1629278759

1315 S CLIFF AVE STE. 2000
Sioux Falls, SD 57105

(605) 322-5800

✔ PECOS✔ Accepts MedicareSame address

Luis Rojas-Espaillat, MD

Gynecological Oncology

NPI 1548396054

1000 E 21ST ST STE. 3000
Sioux Falls, SD 57105

(605) 322-7535

✔ PECOS✔ Accepts MedicareSame address

Ali Al Hajjaj, MD

General Practice

NPI 1174716294

1315 S. CLIFF AVE. STE. 1100
Sioux Falls, SD 57105

(605) 322-7350

✔ PECOSSame address

Racquel Anel-Tiangco, M.D.

Endocrinology

NPI 1740462803

1315 S. CLIFF AVE. STE. 3000
Sioux Falls, SD 57105

(605) 322-7600

✔ PECOS✔ Accepts MedicareSame address

Colleen Achong, MD

Hospitalist

NPI 1841866340

1325 S CLIFF AVE
Sioux Falls, SD 57105

(605) 322-8000

✔ PECOS✔ Accepts MedicareSame address

Alissa Alberts, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1124252648

1325 S CLIFF AVE ANESTHESIA DEPT
Sioux Falls, SD 57105

(605) 322-2796

✔ Accepts MedicareSame address

Megan Albertson, M.D.

Diagnostic Radiology

NPI 1013334911

1325 S CLIFF AVE
Sioux Falls, SD 57105

(605) 322-4878

✔ PECOS✔ Accepts MedicareSame address

Emily Dix, DPT

Physical Therapist in Private Practice

NPI 1548873615

1325 S CLIFF AVE
Sioux Falls, SD 57105

(605) 322-8000

✔ Accepts MedicareSame address

Nathan Elg, DO

Emergency Medicine

NPI 1043747249

1325 S CLIFF AVE
Sioux Falls, SD 57105

(605) 322-4767

✔ PECOSSame address

Taylar Hash, CNM

Certified Nurse Midwife (CNM)

NPI 1922890359

1325 S CLIFF AVE
Sioux Falls, SD 57105

(605) 322-8920

✔ PECOS✔ Accepts MedicareSame address

See all 1,346 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 Avera Mckennan's NPI number?

The NPI number for Avera Mckennan is 1417246901. It was assigned to this organization in the NPPES registry on April 5, 2011. The provider is doing business as Avera Medical Group Ophthalmology Sioux Falls and Avera Medical Group Eye Care.

Where is Avera Mckennan located?

Avera Mckennan is located at 911 E 20th St Ste 101, Sioux Falls, SD 57105. The listed phone number is (605) 322-3790.

What is Avera Mckennan's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Avera Mckennan enrolled in Medicare?

Yes. Avera Mckennan is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Avera Mckennan?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,346 clinicians in 59 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, 21 practice at this address and 768 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Avera Mckennan was last updated on November 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.