BLACK HILLS PEDIATRICS AND NEONATOLOGY, LLP
NPI 1639229727
Pediatrics in Rapid City, SD

Active since January 11, 2007CLIA 43D0407918 · Certificate of Compliance
2905 5TH ST, RAPID CITY, SD 57701(605) 341-7337(605) 341-2447 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Black Hills Pediatrics And Neonatology, Llp NPPES

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

BLACK HILLS PEDIATRICS AND NEONATOLOGY, LLP (NPI 1639229727) is a healthcare organization registered as a pediatrics in Rapid City, South Dakota and active in the NPI registry since January 2007. The organization holds a CLIA Certificate of Compliance certificate valid through January 18, 2028 and lists Dean Hass, Business Administrator, as its authorized official.

NPPES Registry Identity

NPI1639229727
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBLACK HILLS PEDIATRICS, LLP
Location Address2905 5TH STRapid City, SD 57701-7316
Mailing Address2905 5th StRapid City, SD 57701-7316 · (605) 341-7337 · Fax (605) 341-2447
Fax(605) 341-2447
Organization SubpartNo
Authorized OfficialDean HassBusiness Administrator · (605) 341-7337
Enumeration DateJanuary 11, 2007
Last NPPES UpdateAugust 15, 2023
NPPES CertifiedAugust 15, 2023
✔ NPI 1639229727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2905 5TH ST, Rapid City, SD 57701

Other Names 1

Doing Business AsBlack Hills Pediatrics And Neonatology, Llp

Group Practice 1

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Black Hills Pediatrics And Neonatology, Llp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateSouth DakotaEnrollment IDO20041110000461Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Black Hills Pediatrics And Neonatology, LLP, which bills Medicare for the services they deliver. Of these, 9 practice at this address. They are listed nearest first.

Clinicians, nearest first (9)

Pediatric Medicine
NPI 1225016777
2905 5TH ST
Rapid City, SD 57701
(605) 341-7337
✔ PECOSSame address
Pediatric Medicine
NPI 1578768982
2905 5TH ST
Rapid City, SD 57701
(605) 341-7337
✔ PECOSSame address
Pediatric Medicine
NPI 1922329762
2905 5TH ST
Rapid City, SD 57701
(605) 341-7337
✔ PECOSSame address
Pediatric Medicine
NPI 1689874745
2905 5TH ST
Rapid City, SD 57701
(605) 341-7337
✔ PECOSSame address
Pediatric Medicine
NPI 1740205756
2905 5TH ST
Rapid City, SD 57701
(605) 341-7337
✔ PECOSSame address
Pediatric Medicine
NPI 1700818044
2905 5TH ST
Rapid City, SD 57701
(605) 341-7337
✔ PECOSSame address
Pediatric Medicine
NPI 1437181765
2905 5TH ST
Rapid City, SD 57701
(605) 341-7337
✔ PECOSSame address
Pediatric Medicine
NPI 1528083565
2905 5TH ST
Rapid City, SD 57701
(605) 341-7337
✔ PECOSSame address
Pediatric Medicine
NPI 1033134135
2905 5TH ST
Rapid City, SD 57701
(605) 341-7337
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 43D0407918

Black Hills Pediatrics LLP · Rapid City, SD
Active · expires Jan 18, 2028
CLIA Number43D0407918
Laboratory TypePhysician Office
Certificate Effective DateJanuary 19, 2026
Certificate Expiration DateJanuary 18, 2028
Laboratory DirectorHailee Kaufman
Laboratory Phone(605) 341-7337
Laboratory LocationBlack Hills Pediatrics LLP2905 South 5th St, Rapid City, SD 57701
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Black Hills Pediatrics, LLP's NPI number?

The NPI number for Black Hills Pediatrics, LLP is 1639229727. It was assigned to this organization in the NPPES registry on January 11, 2007. The provider is doing business as Black Hills Pediatrics And Neonatology, LLP.

Where is Black Hills Pediatrics, LLP located?

Black Hills Pediatrics, LLP is located at 2905 5th St, Rapid City, SD 57701. The listed phone number is (605) 341-7337.

What is Black Hills Pediatrics, LLP's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Black Hills Pediatrics, LLP enrolled in Medicare?

Yes. Black Hills Pediatrics, LLP is registered in the Medicare PECOS enrollment system.

When is Black Hills Pediatrics, LLP's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (South Dakota, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Black Hills Pediatrics, LLP?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in Pediatric Medicine, reassign their Medicare billing to Black Hills Pediatrics, LLP. 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. Of these, 9 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Black Hills Pediatrics, LLP hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 43D0407918) is associated with this NPI, valid through January 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Black Hills Pediatrics, LLP accept?

Health plans from Avera Health Plans and Sanford Health Plan list Black Hills Pediatrics, LLP 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 Black Hills Pediatrics, LLP was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.