AVERA MCKENNAN – NPI #1073585949
Pediatrics
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
AVERA MCKENNAN is a provider located in SIOUX FALLS, SD. NPPES has assigned the NPI number 1073585949 to AVERA MCKENNAN on February 06, 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 2080N0001X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Neonatal-Perinatal Medicine
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
(more than 20 years ago)
All associated names:
Avera Medical Group Neonatology Sioux Falls
Avera Neonatology Sioux Falls
SIOUX FALLS, SD 57105-1007 Phone: (605) 322-4425 Fax: (605) 322-4499
SIOUX FALLS, SD 57118-6370 Phone: (605) 322-7510 Fax: (605) 322-6475
CEO/PRESIDENT
Phone: (605) 322-8000
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 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
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | BCBS | SD | 4999723 |
| other | BLUE PLUS | MN | 7F824MA |
| other | DEPT OF LABOR | SD | 370624200 |
| other | HEALTHPARTNERS | SD | 61598 |
| medicaid | IA | 0555367 | |
| medicaid | MN | 065778600 | |
| medicaid | SD | 6701340 | |
| medicaid | SD | 6701790 | |
| medicaid | SD | 6701090 | |
| medicaid | SD | 6701500 |
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 |
|---|---|---|
| 2080N0001X - Pediatrics / Neonatal-Perinatal Medicine (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.