Avera McKennan

NPI 1053680678ActiveOrganization· Radiology, Diagnostic Radiology· Sioux Falls, SD

Radiology, Diagnostic Radiology in Sioux Falls, South Dakota, registered in NPPES in December 2011. The authorized official on file is Ronald Place, President/Ceo. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.

Overview

NPI	1053680678
Status	Active
Entity type	Organization
NPI issued	Dec 28, 2011
Last updated in NPPES	May 20, 2026
Certified by provider	May 20, 2026

Specialties and licenses

Taxonomy	Code	License	State
Radiology, Diagnostic Radiology Primary	2085R0202X	—	—

About license numbers in NPPES

Exclusion screening

List	Result	Details
HHS-OIG LEIE · Oct 9, 2026	No match	Checked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026	No match	—
New York OMIG · Nov 10, 2026	No match	—
Ohio Medicaid · Nov 10, 2026	No match	—
Pennsylvania Medicheck · Nov 10, 2026	No match	—
Washington HCA · Nov 10, 2026	No match	—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)	Enrolled Part B Supplier - Clinic/Group Practice (AL); Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (DC); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (MA); Part B Supplier - Clinic/Group Practice (MD); Part B Supplier - Clinic/Group Practice (MO); Part B Supplier - Clinic/Group Practice (NC); Part B Supplier - Clinic/Group Practice (NM); Part B Supplier - Clinic/Group Practice (NV); Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (OH); Part B Supplier - Clinic/Group Practice (PA); Part B Supplier - Clinic/Group Practice (TN); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (UT); Part B Supplier - Clinic/Group Practice (WA)

Enrollment (PECOS)

Enrolled Part B Supplier - Clinic/Group Practice (AL); Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (DC); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (MA); Part B Supplier - Clinic/Group Practice (MD); Part B Supplier - Clinic/Group Practice (MO); Part B Supplier - Clinic/Group Practice (NC); Part B Supplier - Clinic/Group Practice (NM); Part B Supplier - Clinic/Group Practice (NV); Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (OH); Part B Supplier - Clinic/Group Practice (PA); Part B Supplier - Clinic/Group Practice (TN); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (UT); Part B Supplier - Clinic/Group Practice (WA)

Medicare sources and data years

Other Radiology, Diagnostic Radiology providers in Sioux Falls

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Sioux Falls Upright MRI Prof LLC
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Megan E. Albertson, M.D.
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1013334911
Josie Ruth Alpers, MD
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1699737031
Joseph J. Baka, MD
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1538121017
Bryan L. Barness, MD
Sioux Falls, SD · Individual
1205882081
David W. Bean Jr., MD
Sioux Falls, SD · Individual
1477515948
Clark L. Carrol, M.D.
Sioux Falls, SD · Individual
1629267224

All Radiology, Diagnostic Radiology providers in South Dakota →