| Dr Sujan Pathak, MD | |
|
640 Flormann St, Rapid City, SD 57701-4679 | |
| (605) 718-3300 | |
| (605) 718-3426 |
| Full Name | Dr Sujan Pathak |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 24 Years |
| Location | 640 Flormann St, Rapid City, South Dakota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689864449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 8454 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fmcna - Medical Plaza Dialysis | Oklahoma city, OK | Dialysis facility |
| Fmcna - Stillwater Medical Ctr Dialysis | Stillwater, OK | Dialysis facility |
| Fmcna - North Central Oklahoma City | Oklahoma city, OK | Dialysis facility |
| Fmcna - Edmond East | Edmond, OK | Dialysis facility |
| Integris Baptist Medical Center, Inc | Oklahoma city, OK | Hospital |
| Stillwater Medical Center | Stillwater, OK | Hospital |
| Integris Southwest Medical Center | Oklahoma city, OK | Hospital |
| Integris Health Edmond | Edmond, OK | Hospital |
| Integris Canadian Valley Hospital | Yukon, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integris Ambulatory Care Corporation | 2365408465 | 564 |
| Kidney Specialists Of Central Oklahoma, Pc | 7618904988 | 19 |
| Entity Name | Integris Ambulatory Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750333936 PECOS PAC ID: 2365408465 Enrollment ID: O20041209000354 |
| Entity Name | Kidney Specialists Of Central Oklahoma, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710918420 PECOS PAC ID: 7618904988 Enrollment ID: O20050719000901 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sujan Pathak, MD 353 Fairmont Blvd, Atten Medical Staff Services, Rapid City, SD 57701-6000 Ph: () - | Dr Sujan Pathak, MD 640 Flormann St, Rapid City, SD 57701-4679 Ph: (605) 718-3300 |
Cliff Janikowski, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701 Phone: 605-755-1000 | |
Dr. James A Engelbrecht, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 640 Flormann St, Rapid City, SD 57701 Phone: 605-718-3300 Fax: 605-718-3426 | |
James Michael Keegan, MD Nephrology Medicare: Medicare Enrolled Practice Location: 4940 5th St, Suite 1b, Rapid City, SD 57701 Phone: 605-342-8329 | |
Santosh Raj Poudel, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 353 Fairmont Blvd., Rapid City, SD 57701 Phone: 605-719-1000 Fax: 605-719-8826 | |
Dr. Oksana Aleksenko, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2820 Mount Rushmore Rd, Rapid City, SD 57701 Phone: 605-342-3280 | |
Masaru Chiba, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2805 5th St, Suite 100, Rapid City, SD 57701 Phone: 605-719-5700 Fax: 605-719-5701 | |
John Palmer, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 640 Flormann St, Rapid City, SD 57701 Phone: 605-755-3300 Fax: 605-755-3129 |