Organization Active NPI

Riverview Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • South Sioux City, NE
National Provider Identifier
1003374711
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
RIVERVIEW SURGICAL CENTER LLC
Practice address
201 E 4TH Street
South Sioux City, NE 68776
Phone
(712) 224-3033
Fax
(712) 224-3037
NPI assigned
Mar 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Matt Niemeier
Title
Ceo
Phone
(402) 412-2160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

201 E 4TH Street
South Sioux City, NE 68776

Mailing address

201 E 4TH St Ste 100
South Sioux City, NE 68776-9928
Phone (402) 412-2160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190618000450 NE Part B Supplier - Ambulatory Surgical Center 8224361670 Practice locations: South Sioux City, NE

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Riverview Surgical Center LLCCCN 28C0001065
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2167505Riverview Surgical Center LLC201 E 4TH Street, South Sioux City, NE 68776Certificate of waiverJun 9, 2027

National Provider Directory

National Provider Directory

Locations

201 E 4th St
Ste 100
South Sioux City, NE 68776
Phone (402) 412-2160

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1003374711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 4TH ST STE 100",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687769928",
            "telephone_number": "402-412-2160",
            "fax_number": "402-412-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 4TH STREET",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "68776",
            "telephone_number": "712-224-3033",
            "fax_number": "712-224-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "NIEMEIER",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-412-2160"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Sioux City, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.