Dr Sujan Pathak, MD - Medicare Nephrology in Rapid City, SD

Dr Sujan Pathak, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Rapid City, South Dakota. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Integris Ambulatory Care Corporation, Kidney Specialists Of Central Oklahoma, Pc and his current practice location is 640 Flormann St, Rapid City, South Dakota. You can reach out to his office (for appointments etc.) via phone at (605) 718-3300.

Dr Sujan Pathak is licensed to practice in South Dakota (license number 8454) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689864449.

Contact Information

Dr Sujan Pathak, MD
640 Flormann St,
Rapid City, SD 57701-4679
(605) 718-3300
(605) 718-3426



Physician's Profile

Full NameDr Sujan Pathak
GenderMale
SpecialityNephrology
Experience23 Years
Location640 Flormann St, Rapid City, South Dakota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Sujan Pathak graduated from medical school in 2001
  NPI Data:
  • NPI Number: 1689864449
  • Provider Enumeration Date: 07/27/2007
  • Last Update Date: 02/06/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 7214082098
  • Enrollment ID: I20160429000379

Medical Identifiers

Medical identifiers for Dr Sujan Pathak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689864449NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 8454 (South Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fmcna - Medical Plaza DialysisOklahoma city, OKDialysis facility
Fmcna - Stillwater Medical Ctr DialysisStillwater, OKDialysis facility
Fmcna - Edmond EastEdmond, OKDialysis facility
Fmcna - ShawneeShawnee, OKDialysis facility
Fmcna - North Central Oklahoma CityOklahoma city, OKDialysis facility
Integris Baptist Medical Center, IncOklahoma city, OKHospital
Integris Southwest Medical CenterOklahoma city, OKHospital
Stillwater Medical CenterStillwater, OKHospital
Integris Canadian Valley HospitalYukon, OKHospital
Integris Health EdmondEdmond, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Integris Ambulatory Care Corporation2365408465382
Kidney Specialists Of Central Oklahoma, Pc761890498817

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Sujan Pathak allows following entities to bill medicare on his behalf.
Entity NameIntegris Ambulatory Care Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750333936
PECOS PAC ID: 2365408465
Enrollment ID: O20041209000354

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Entity NameKidney Specialists Of Central Oklahoma, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710918420
PECOS PAC ID: 7618904988
Enrollment ID: O20050719000901

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sujan Pathak is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

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Internal Medicine Doctors in Rapid City, SD

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: Accepting Medicare Assignments
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 Anand, 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

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