CIGNA TEL-DRUG — NPI 1457571457 (Licensed & Credentialed Preferred Provider Organization in SIOUX FALLS, SD)

CMS-1500 Box 24J / 33a • NPI

1457571457

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

305R00000X

Licensed & Credentialed Preferred Provider Organization

Box 32 Service Location & ZIP+4

4901 N 4TH AVE, SIOUX FALLS, SD, 57104-0444

✓ 9-Digit EDI 837 ZIP+4 (57104-0444)

Practice Phone & Referral Fax

(605) 373-0100

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1457571457 (CIGNA TEL-DRUG) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1457571457` (NPI-2 Organization / Facility)
Provider / Legal Name	CIGNA TEL-DRUG
Plain-English Specialty	Licensed & Credentialed Preferred Provider Organization NUCC Code: `305R00000X` (Preferred Provider Organization)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	4901 N 4TH AVE, SIOUX FALLS, SD, 57104-0444
Practice Telephone / Fax	Tel: (605) 373-0100
Administrative Mailing Address	224 TABOR CT, BRANDON, SD, 57005-1080
Enumeration & Last Sync	Enumerated: 2007-05-01 \| CMS Record Updated: 2020-08-22
Authorized Official	JESSICA BEBENSEE (Staff Pharmacist)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

4901 N 4TH AVE, SIOUX FALLS, SD, 57104-0444

🗺️ Open in Google Maps 🏥 More Providers in SIOUX FALLS

🔒 Are you CIGNA TEL-DRUG? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (305R00000X)

What Does Taxonomy Code 305R00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 305R00000X translates to:
"Licensed & Credentialed Preferred Provider Organization"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Preferred Provider Organization for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CIGNA TEL-DRUG)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`305R00000X` — Preferred Provider Organization Plain English: Licensed & Credentialed Preferred Provider Organization	State: SD \| License: `5141` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

CIGNA TEL-DRUG (NPI #1457571457)