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DR. GOVARTHANAN RAJENDIRAN M.D.
NPI 1962633966
Internal Medicine - Hepatology in Sioux Falls, SD

Active since August 07, 2009PECOS EnrolledAccepts Medicare Assignment
76.69/100
CMS Quality Rating
1205 S GRANGE AVE STE 501, SIOUX FALLS, SD 57105(605) 328-8500(605) 328-8501 Get Directions Write a Review

NPPES record last updated: March 20, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 20, 2019, Jul 17, 2018 (2 updates tracked since 2018).

About Dr. Govarthanan Rajendiran M.d. NPPES

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

DR. GOVARTHANAN RAJENDIRAN M.D. (NPI 1962633966) is an individual hepatology provider in Sioux Falls, South Dakota, licensed in South Dakota (9061) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with Orange City Area Health System, and maintains a secondary practice location in Sioux Falls.

NPPES Registry Identity

NPI1962633966
Entity TypeIndividualMale
Primary Taxonomy207RI0008X
Provider Legal NameDR. GOVARTHANAN RAJENDIRANCredential: M.D.
Location Address1205 S GRANGE AVE STE 501Sioux Falls, SD 57105-0407
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Phone(605) 328-8500
Fax(605) 328-8501
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 7, 2009
Last NPPES UpdateMarch 20, 20192 updates tracked since enumeration
✔ NPI 1962633966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · HepatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0008X
License✔ Licensed in SD · 9061
Definition
The discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs.
1205 S GRANGE AVE STE 501, Sioux Falls, SD 57105
Open in Google Maps ↗

Secondary Practice Location 1

Location 11305 W 18th StSioux Falls, SD 57105-0401 · Phone (605) 328-4973

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Sanford Health Plan and more.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

Dr. Govarthanan Rajendiran M.d. 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 ID8325294259
PECOS Enrollment IDI20140709001118
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

3

Medicare enrollment records show Govarthanan Rajendiran reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sanford Clinic
Same address
Nephrology
1205 S. GRANGE AVE, STE 201
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 826 clinicians in this Medicare group
NPI 1295848521 (605) 328-8100
Sanford Medical Center
0.7 mi
Family Medicine
1420 W 22NDST STE 104
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,097 clinicians in this Medicare group
NPI 1093090342 (605) 328-4897
Saint Lukes Physician Group Inc
334 mi
Nurse Practitioner
8501 W 95TH ST
Overland Park, KS 66212
  • Reassigned Medicare billing, Missouri enrollment
  • 1,339 clinicians in this Medicare group
NPI 1043826563 (913) 323-8880

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

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
70 services59 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
59 services50 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
47 services47 patients
Measurement of liver stiffness 91200
Measurement of liver stiffness is a non-invasive procedure that helps assess the health of your liver. It uses sound waves to detect the hardness of the liver tissue, which can indicate conditions like fibrosis or cirrhosis. It's a simple, painless test that provides valuable information about your liver's health.
29 services28 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
29 services27 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
24 services23 patients

Hospital Affiliations CMS Care Compare 5

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

Orange City Area Health System

Critical Access Hospitals · Orange City, IA
OwnershipVoluntary non-profit - Other
CMS Certification Number161360
Location1000 Lincoln Circle SEOrange City, IA 51041 · Sioux County
Emergency services

Sanford Canby Medical Center

Critical Access Hospitals · Canby, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241347
Location112 St Olaf Avenue SouthCanby, MN 56220 · Yellow Medcine County
Emergency services

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Sanford Medical Center Aberdeen

Acute Care Hospitals · Aberdeen, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430097
Location2905 3rd Ave SEAberdeen, SD 57402 · Brown County
Emergency services Birthing friendly

Sanford Vermillion Hospital

Critical Access Hospitals · Vermillion, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431336
Location20 South Plum StreetVermillion, SD 57069 · Clay County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.56
Promoting Interoperability99
Improvement Activities40
Cost44.56

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 Govarthanan Rajendiran's NPI number?

The NPI number for Govarthanan Rajendiran is 1962633966. It was assigned to this individual provider in the NPPES registry on August 7, 2009.

Where is Govarthanan Rajendiran located?

Govarthanan Rajendiran practices at 1205 S Grange Ave Ste 501, Sioux Falls, SD 57105. The listed phone number is (605) 328-8500.

What is Govarthanan Rajendiran's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hepatology, with taxonomy code 207RI0008X.

Is Govarthanan Rajendiran enrolled in Medicare?

Yes. Govarthanan Rajendiran 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 Govarthanan Rajendiran's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Govarthanan Rajendiran reassigns Medicare benefits to 3 organizations: Sanford Clinic (Sioux Falls, SD), Sanford Medical Center (Sioux Falls, SD) and Saint Lukes Physician Group Inc (Overland Park, KS). 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 Govarthanan Rajendiran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Govarthanan Rajendiran accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Sanford Health Plan, Security Health Plan and Wellmark Health Plan of Iowa, Inc. and 1 other insurer list Govarthanan Rajendiran 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 Govarthanan Rajendiran affiliated with any hospitals?

According to CMS data, Govarthanan Rajendiran is affiliated with Orange City Area Health System, Sanford Canby Medical Center, Sanford Usd Medical Center, Sanford Medical Center Aberdeen and Sanford Vermillion Hospital.

When was this NPI record last updated?

The NPPES record for Govarthanan Rajendiran was last updated on March 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.