OrganizationActive
Black Hills Surgical Hospital, LLP
NPI 1417304924 · Surgery Physician · Rapid City, SD
Provider details
- NPI number
- 1417304924
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jack Kaup, Cfo(605) 721-4918
- License
- 9104 (SD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1868 Lombardy Dr
Rapid City, SD 57703-4130
Phone: (605) 721-4900
Fax: (605) 721-4964
Street-level locationGet directions
Mailing address
1868 Lombardy Dr
Rapid City, SD 57703-4130
Other names (DBA / former)
- Doing business as
- West River Ear, Nose, and Throat
Registry dates
- Enumerated
- 2016-05-16
- Last updated
- 2016-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.