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Heart Hospital of South Dakota LLC

NPI 1407109705ActiveOrganization· Internal Medicine, Cardiovascular Disease· Sioux Falls, SD

Internal Medicine, Cardiovascular Disease in Sioux Falls, South Dakota, registered in NPPES in October 2012, part of Heart Hospital of South Dakota LLC. The authorized official on file is Jon C. Soderholm, President. Enrolled in Medicare as part b supplier - hospital department(s) and part b supplier - hospital department(s).

Overview

NPI1407109705
StatusActive
Entity typeOrganization (subpart)
Parent organizationHeart Hospital of South Dakota LLC
NPI issuedOct 24, 2012
Last updated in NPPESOct 24, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Internal Medicine, Cardiovascular Disease Primary207RC0000X41953SD
Internal Medicine, Clinical Cardiac Electrophysiology207RC0001X41953SD
Internal Medicine, Interventional Cardiology207RI0011X41953SD
Surgery, Vascular Surgery2086S0129X41953SD
Thoracic Surgery (Cardiothoracic Vascular Surgery)208G00000X41953SD

About license numbers in NPPES

Exclusion screening

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

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Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Hospital Department(S) (IA); Part B Supplier - Hospital Department(S) (MN); Part B Supplier - Hospital Department(S) (SD)

Medicare sources and data years

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