Individual provider Active NPI

Micah Marshall Likness, M.D.

  • Otolaryngology Physician
  • Sioux Falls, SD
National Provider Identifier
1124269162
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
8836 Issued in SD
Practice address
2315 W 57TH St
Sioux Falls, SD 57108-5046
Phone
(605) 336-3503
Fax
(605) 665-0076
NPI assigned
Mar 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 8836 SD Primary

Addresses

Primary practice location

2315 W 57TH St
Sioux Falls, SD 57108-5046

Mailing address

2315 W 57TH St
Sioux Falls, SD 57108-5046
Phone (605) 336-3503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140212001850 SD Practitioner - Otolaryngology 8628207792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Sanford School of Medicine of University of South Dakota, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midwest Ear, Nose and Throat Associates P CGroup PAC ID 8729990940, 15 clinicians

Practice addresses (Care Compare)

2315 W 57TH St
Sioux Falls, SD 57108-5046
Phone (605) 336-3503

Hospital & facility affiliations

  • Sioux Falls Specialty Hospital Hospital, Sioux Falls, SD, CCN 430090
  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016
  • Prairie Lakes Healthcare System, Inc Hospital, Watertown, SD, CCN 430005
  • Milbank Area Hospital/Avera Health Hospital, Milbank, SD, CCN 431326
  • Avera Sacred Heart Hospital Hospital, Yankton, SD, CCN 430012

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Ear, Nose & Throat Associates P C Otolaryngology CurrentSince Jan 1, 2024 Accepting new patients

Locations

2315 W 57th St
Sioux Falls, SD 57108
Phone (605) 336-3503

2001 Broadway Ave
Yankton, SD 57078
Phone (605) 520-0477

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 32

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1237680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1124269162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 W 57TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085046",
            "telephone_number": "605-336-3503",
            "fax_number": "605-275-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 W 57TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085046",
            "telephone_number": "605-336-3503",
            "fax_number": "605-665-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIKNESS",
        "first_name": "MICAH",
        "middle_name": "MARSHALL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-22",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "SD",
            "license": "8836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.