Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Sujan Pathak, MD

Individual provider Nephrology Physician · NPI 1689864449

Dr. Sujan Pathak, MD is a Nephrology in Rapid City, South Dakota. Qualified in 2001, 25 years ago. Practices with Integris Ambulatory Care Corporation, a 683-clinician group, accepts Medicare assignment and offers telehealth. Licensed in South Dakota.

Years since qualifying
25
Licensed in
SD
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

640 Flormann St
Rapid City, SD 57701-4679
Phone: (605) 718-3300
Fax: (605) 718-3426
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 8454 (SD)

Record details

NPI number1689864449
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 27, 2007
Last updated in NPPESFebruary 6, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Integris Ambulatory Care Corporation — 683 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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