AVERA MCKENNAN – NPI #1194799882
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

AVERA MCKENNAN is a provider located in SIOUX FALLS, SD. NPPES has assigned the NPI number 1194799882 to AVERA MCKENNAN on February 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was last updated on Mar 12, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AVERA MCKENNAN below.

NPI Profile for
AVERA MCKENNAN

NPI Number
1194799882
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AVERA MCKENNAN
Other name(s)
All associated names:
Doing Business As (dba)
Avera Gastroenterology Sioux Falls
Doing Business As (dba)
Avera Medical Group Gastroenterology Sioux Falls
Primary location
6300 S LOUISE AVE STE 200
SIOUX FALLS, SD 57108-6133
Phone: (605) 504-1400 Fax:
1 Other location(s):
1417 S Cliff Ave
Suite 300
Sioux Falls, SD 57105-1022
Phone: (605) 322-8630
Fax: (605) 322-8631
Mailing address
PO BOX 86370
SIOUX FALLS, SD 57118-6370
Phone: (605) 322-7510 Fax: (605) 322-6475
Organization Subpart
No
Authorized Official
RONALD PLACE
CEO/PRESIDENT
Phone: (605) 322-8000
Updated
Certification Date
Mar 12, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for AVERA MCKENNAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherBCBSMN90876BA
otherBCBSSD0006073
otherBLUE PLUSMN90876BA
otherDEPT OF LABORSD370624200
otherHEALTHPARTNERSSD65737
otherPRIMEWESTSD92411422906
medicaidIA0530592
medicaidMN817930100
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.