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DR. JERRY L MOENCH MD
NPI 1619920311
Internal Medicine - Cardiovascular Disease in Sioux Falls, SD

Active since May 17, 2006
4520 W 69TH ST, SIOUX FALLS, SD 57108(605) 977-5000(605) 977-5377 Get Directions Write a Review

NPPES record last updated: March 24, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jerry L Moench Md NPPES

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

DR. JERRY L MOENCH MD (NPI 1619920311) is an individual cardiovascular disease provider in Sioux Falls, South Dakota, licensed in South Dakota (1548) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1619920311
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. JERRY L MOENCHCredential: MD
Location Address4520 W 69TH STSioux Falls, SD 57108-8148
Mailing AddressPo Box 5009Sioux Falls, SD 57117-5009 · (605) 977-5000 · Fax (605) 977-5377
Phone(605) 977-5000
Fax(605) 977-5377
Sole ProprietorNo
Enumeration DateMay 17, 2006
Last NPPES UpdateMarch 24, 2008
✔ NPI 1619920311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in SD · 1548
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.
4520 W 69TH ST, Sioux Falls, SD 57108
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Other Identifiers 12

Medicare UPIND25481SD
Medicaid6001200SD
Other538R5MOMN · Mn Bcbs - Plan 538r2no
Other1548SD · Dakotacare
Medicaid1106195IA
Other0009604SD · Sd Bcbs
Other165027Ucare
Other92589MOMN · Mn Bcbs - Plan 91057no
Other24681Health Partners
Other931451029038Preferred One
Medicare PINCG5507GA
Medicare PINS9604SD

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.

KELLY J STEFFEN DO
Internal Medicine (Cardiovascular Disease)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000
BRIAN KEITH DUXBURY DO
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000
DR. ANURAG BAJAJ M.D.
Internal Medicine (Cardiovascular Disease)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000
MARY ANN MARIE SHERMAN PAC
Physician Assistant
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000
STEPHANIE PREISTER
Nurse Practitioner (Family)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000
DR. PAUL E MEYER MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000
HOLLI MARIE BAAN HOFMAN CNP
Nurse Practitioner (Family)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000
DR. MARK D FAUSCH MD
Internal Medicine (Cardiovascular Disease)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000

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 Jerry Moench's NPI number?

The NPI number for Jerry Moench is 1619920311. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Jerry Moench located?

Jerry Moench practices at 4520 W 69th St, Sioux Falls, SD 57108. The listed phone number is (605) 977-5000.

What is Jerry Moench's specialty?

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

When was this NPI record last updated?

The NPPES record for Jerry Moench was last updated on March 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.