DAVID LEE KALLAS CRNA
NPI 1902166911
Nurse Anesthetist, Certified Registered in Renner, SD

Active since May 23, 2012PECOS EnrolledAccepts Medicare Assignment
47316 ROGNESS PL, RENNER, SD 57055(605) 310-6735 Get Directions Write a Review

NPPES record last updated: May 23, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About David Lee Kallas Crna NPPES

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

DAVID LEE KALLAS CRNA (NPI 1902166911) is an individual nurse anesthetist, certified registered in Renner, South Dakota, licensed in South Dakota (CR000784) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Avera Marshall Regional Medical Ctr, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1902166911
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameDAVID LEE KALLASCredential: CRNA
Location Address47316 ROGNESS PLRenner, SD 57055-6526
Mailing Address47316 Rogness PlRenner, SD 57055-6526 · (605) 310-6735
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMay 23, 2012
✔ NPI 1902166911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in SD · CR000784
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
47316 ROGNESS PL, Renner, SD 57055

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Lee Kallas Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961667969
PECOS Enrollment IDI20130717000897
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

7

Medicare enrollment records show David Kallas reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Anesthetist, Certified Registered
3101 W 57TH ST
Sioux Falls, SD 57108
  • Reassigned Medicare billing, South Dakota enrollment
  • 17 clinicians in this Medicare group
Obstetrics & Gynecology
920 4TH AVE SW, SUITE 210
Pipestone, MN 56164
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Pipestone County Medical Center
  • 71 clinicians in this Medicare group
Optometrist
702 10TH ST
Worthington, MN 56187
  • Reassigned Medicare billing, Minnesota enrollment
  • 260 clinicians in this Medicare group
Physical Therapist
2525 FOX RUN PKWY STE 100
Yankton, SD 57078
  • Reassigned Medicare billing, South Dakota enrollment
  • 227 clinicians in this Medicare group
Critical Access
306 PRAIRIE AVE SW
De Smet, SD 57231
  • Reassigned Medicare billing, South Dakota enrollment
  • 120 clinicians in this Medicare group
Physical Therapist
1211 E WELLS AVE
Pierre, SD 57501
  • Reassigned Medicare billing, South Dakota enrollment
  • Medicare enrollment name: Avera St Marys
  • 197 clinicians in this Medicare group
Surgery
1868 LOMBARDY DR
Rapid City, SD 57703
  • Reassigned Medicare billing, South Dakota enrollment
  • 161 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Avera Marshall Regional Medical Ctr

Critical Access Hospitals · Marshall, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number241359
Location300 South Bruce StreetMarshall, MN 56258 · Lyon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 David Kallas's NPI number?

The NPI number for David Kallas is 1902166911. It was assigned to this individual provider in the NPPES registry on May 23, 2012.

Where is David Kallas located?

David Kallas practices at 47316 Rogness Pl, Renner, SD 57055. The listed phone number is (605) 310-6735.

What is David Kallas's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is David Kallas enrolled in Medicare?

Yes. David Kallas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for David Kallas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Kallas reassigns Medicare benefits to 7 organizations: Ttb Services Prof LLC (Sioux Falls, SD), Pipestone County Medical Center Avera (Pipestone, MN), Avera Marshall (Worthington, MN), Sacred Heart Health Services (Yankton, SD), Huron Regional Medical Center (De Smet, SD) and 2 more organizations, listed in the Medicare section above. Each 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 David Kallas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Kallas accept?

Health plans from Avera Health Plans, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list David Kallas 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.

Is David Kallas affiliated with any hospitals?

According to CMS data, David Kallas is affiliated with Avera Marshall Regional Medical Ctr.

When was this NPI record last updated?

The NPPES record for David Kallas was last updated on May 23, 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.