Avera McKennan
NPI 1104892892ActiveOrganization· Internal Medicine, Nephrology· Sioux Falls, SD
Internal Medicine, Nephrology in Sioux Falls, South Dakota, registered in NPPES in February 2006. The authorized official on file is Ronald J. Place, Ceo/President.
Overview
| NPI | 1104892892 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 23, 2006 |
| Last updated in NPPES | Mar 12, 2026 |
| Certified by provider | Mar 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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