ANPETU LUTA OTIPI — NPI 1902057631 (Licensed & Credentialed Substance Abuse Rehabilitation Facility in KYLE, SD)

CMS-1500 Box 24J / 33a • NPI

1902057631

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

324500000X

Licensed & Credentialed Substance Abuse Rehabilitation Facility

Box 32 Service Location & ZIP+4

BIA HWY 39 NO FLESH ROAD, BOX 275, KYLE, SD, 57752-0275

✓ 9-Digit EDI 837 ZIP+4 (57752-0275)

Practice Phone & Referral Fax

(605) 455-2331

Fax: (605) 455-1046

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1902057631 (ANPETU LUTA OTIPI) 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	`1902057631` (NPI-2 Organization / Facility)
Provider / Legal Name	ANPETU LUTA OTIPI
Plain-English Specialty	Licensed & Credentialed Substance Abuse Rehabilitation Facility NUCC Code: `324500000X` (Substance Abuse Rehabilitation Facility)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	BIA HWY 39 NO FLESH ROAD, BOX 275, KYLE, SD, 57752-0275
Practice Telephone / Fax	Tel: (605) 455-2331 \| Fax: (605) 455-1046
Administrative Mailing Address	PO BOX 275, KYLE, SD, 57752-0275
Enumeration & Last Sync	Enumerated: 2008-09-30 \| CMS Record Updated: 2008-09-30
Authorized Official	TERRYL BLUE-WHITE EYES (Director)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

BIA HWY 39 NO FLESH ROAD, BOX 275, KYLE, SD, 57752-0275

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Plain-English Taxonomy & CMS Crosswalk (324500000X)

What Does Taxonomy Code 324500000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 324500000X translates to:
"Licensed & Credentialed Substance Abuse Rehabilitation Facility"

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 Substance Abuse Rehabilitation Facility for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ANPETU LUTA OTIPI)

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
`324500000X` — Substance Abuse Rehabilitation Facility Plain English: Licensed & Credentialed Substance Abuse Rehabilitation Facility	State: SD \| License: `460248724` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ANPETU LUTA OTIPI (NPI #1902057631)