Skip to content
NPISignal

Individual Healthcare Provider

Tyler Anthony Ptacek, M.D.

NPI Record: ActivePain Medicine — Interventional Pain Medicine
NPI1225324791
Rapid City, South Dakota

Provider's NPPES record last updated: April 4, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1225324791
Primary Specialty
Pain Medicine — Interventional Pain Medicine
Practice Location
Rapid City, South Dakota
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 9:40 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pain Medicine

    Interventional Pain Medicine

    Allopathic & Osteopathic Physicians

    Primary

    Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

    Taxonomy code 208VP0014X
  • Family Medicine

    Allopathic & Osteopathic Physicians

    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

    Taxonomy code 207Q00000X
  • Anesthesiology

    Allopathic & Osteopathic Physicians

    An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

    Taxonomy code 207L00000X

Provider-Reported License Information

Pain Medicine (South Dakota)
12138
Family Medicine (Kansas)
7731
Pain Medicine (Missouri)
2016019592
Anesthesiology (Nebraska)
6652
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

101 E Minnesota St Ste 200

Rapid City, South Dakota 57701-7758

Phone: (605) 342-3280

Additional Practice Location

984150 Nebraska Medical Ctr

Unmc

Omaha, Nebraska 68198-4150

Phone: (402) 559-6329

Fax: (402) 559-7372

Additional Practice Location

1723 Broadway St Ste 410

Cape Girardeau, Missouri 63701-4556

Phone: (573) 332-7746

Fax: (573) 339-9709

Record Information

Enumeration Date
June 23, 2011
Provider's NPPES Record Last Updated
April 4, 2026
Certification Date
April 4, 2026
NPISignal NPPES Dataset
August 2026

See Something Wrong?

Incorrect provider information

Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.

Update a record through NPPES

Something wrong with this page?

If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.

Report a display issue