Individual provider Active NPI

Austin T Granatowicz, MD

  • Family Medicine Physician
  • South Sioux City, NE
National Provider Identifier
1184240533
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35721 Issued in NE
Practice address
3250 Plaza Dr
South Sioux City, NE 68776-3144
Phone
(402) 412-4220
Fax
(402) 494-1365
NPI assigned
Jun 22, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35721 NE Primary

Addresses

Primary practice location

3250 Plaza Dr
South Sioux City, NE 68776-3144

Mailing address

200 Gold Cir Ste 120
Dakota Dunes, SD 57049-5501
Phone (605) 217-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210827000719 IA Practitioner - Family Practice 2567885619 Reassigns benefits to 1 organization
I20230803003955 NE Practitioner - Family Practice 2567885619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Care of Siouxland PLCGroup PAC ID 7315839412, 49 clinicians

Practice addresses (Care Compare)

3250 Plaza Dr
South Sioux City, NE 68776-3144
Phone (402) 412-4220

4545 Sergeant Rd
Sioux City, IA 51106-4706
Phone (712) 274-2400

Hospital & facility affiliations

  • Aveanna Home Health Home health agency, Omaha, NE, CCN 287131
  • St. Croix Hospice Hospice, South Sioux City, NE, CCN 281547
  • St Lukes Regional Medical Center Hospital, Sioux City, IA, CCN 160146

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions11
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Care of Siouxland PLC Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Northwest Iowa Hospital Corporation Past Accepting new patients
Family Health Care of Siouxland LLC Family Medicine PastSince Dec 7, 2025 Accepting new patients

Locations

4230 Hamilton Blvd
Sioux City, IA 51104
Phone (712) 239-4300

814 Pierce St
Ste 30
Sioux City, IA 51101

4545 Sergeant Rd
Sioux City, IA 51106
Phone (712) 274-2400

814 Pierce St
Ste 300
Sioux City, IA 51101
Phone (712) 226-2600

3250 Plaza Dr
#O
South Sioux City, NE 68776
Phone (402) 412-4220

3250 Plaza Dr
South Sioux City, NE 68776
Phone (402) 412-4220

200 Gold Cir
Ste 120
Dakota Dunes, SD 57049

Interoperability endpoints

  • Direct secure messaging: austingranatowicz@fhcs.allscriptsdirect.net
  • Direct secure messaging: agranatowicz748575@direct.unitypoint.org

Organizations & group practices 4

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1184240533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GOLD CIR STE 120",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495501",
            "telephone_number": "605-217-0700",
            "fax_number": "605-217-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 PLAZA DR",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687763144",
            "telephone_number": "402-412-4220",
            "fax_number": "402-494-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANATOWICZ",
        "first_name": "AUSTIN",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-22",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "35721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Sioux City, NE

Sources for this page

Verify at the official NPI Registry.