Active NPI
Riyad Mohama, MD
- Clinical Cardiac Electrophysiology Physician
- Sioux Falls, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 3476
- Practice address
- 4520 W 69TH St
Sioux Falls, SD 57108-8148 - Phone
- (605) 977-5000
- Fax
- (605) 977-5377
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 3476 | SD | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 3476 | SD |
Addresses
Primary practice location
4520 W 69TH St
Sioux Falls, SD 57108-8148
Mailing address
PO Box 5009
Sioux Falls, SD 57117-5009
Phone (605) 977-5000
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0003382 | Other | SD | SD BCBS |
| 931451029039 | Other | PREFERRED ONE | |
| 24684 | Other | HEALTH PARTNERS | |
| 165028 | Other | UCARE | |
| 53992 | Other | IA | IA BCBS |
| 431200700 | Medicaid | MN | |
| 1981787 | Medicaid | IA | |
| 6002492 | Medicaid | SD | |
| 3476 | Other | SD | DAKOTACARE |
| 4R614MO | Other | MN | MN BCBS - PLAN 91057NO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, SD, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 9TH St SE
NCH Sioux Center Medical Clinic
Sioux Center, IA 51250-2501
Phone (712) 722-2609
116 E 10TH St
Suite 101
Spencer, IA 51301-4365
Phone (712) 264-3500
1325 S Cliff Ave
Sioux Falls, SD 57105-1007
300 S Bruce St
Marshall, MN 56258-1934
Phone (507) 537-9007
4500 W 69TH St
Sioux Falls, SD 57108-8148
Phone (605) 977-7000
4520 W 69TH St
Sioux Falls, SD 57108-8148
Phone (605) 977-5000
513 3Rd St SW
Wagner, SD 57380-9675
Phone (605) 384-3418
513 3Rd SW St
Wagner, SD 57380-9675
Hospital & facility affiliations
- Avera Heart Hospital of South Dakota
- Avera McKennan Hospital & University Health Center
- Spencer Municipal Hospital
- Lakes Regional Healthcare
- Avera St Mary'S Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 74 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3474 | SD | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wagner Community Memorial Hospital | Current | Accepting new patients | |
| Avera Holy Family | Current | Accepting new patients | |
| Wagner Community Memorial Hospital | Current | Accepting new patients | |
| Spencer Municipal Hospital | Current | Accepting new patients | |
| Heart Hospital of South Dakota LLC | Current | Accepting new patients | |
| Wagner Community Memorial Hospital | Current | Accepting new patients | |
| Regional Health Services of Howard County | Current | Accepting new patients | |
| Heart Hospital of South Dakota LLC | Cardiovascular Disease | Current | Accepting new patients |
| Spencer Municipal Hospital | Current | Accepting new patients | |
| St Michael'S Hospital, Inc. | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Spencer Municipal Hospital | Current | Accepting new patients | |
| Spencer Municipal Hospital | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Regional Health Services of Howard County | Current | Accepting new patients |
Locations
235 8th Ave W
Cresco, IA 52136
Phone (319) 547-2101
926 N 8th St
Estherville, IA 51334
Phone (712) 362-3501
826 N 8th St
Estherville, IA 51334
Phone (712) 362-2631
116 E 11th St
Ste 101
Spencer, IA 51301
Phone (712) 264-3500
1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164
300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631
300 W 5th St
Miller, SD 57362
Phone (605) 853-0158
4520 W 69th St
Sioux Falls, SD 57108
Phone (605) 977-5000
4500 W 69th St
Sioux Falls, SD 57108
Phone (605) 977-7000
Interoperability endpoints
- riyad.mohama@avera.sdhealthlink.net
Organizations & group practices 16
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.
-
- Cardiovascular Disease Physician
- Sioux Falls, SD
- NPI 1407109705
IA, MN
-
- Family Medicine Physician
- Wagner, SD
- NPI 1740306992
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1023003969
-
- Critical Access Hospital
- Cresco, IA
- NPI 1730283326
-
- Clinic/Center
- Milford, IA
- NPI 1396732186
-
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
-
- Infectious Disease Physician
- Sioux Falls, SD
- NPI 1508387820
-
- Critical Access Hospital
- Tyndall, SD
- NPI 1730123522
-
- Critical Access Hospital
- Wagner, SD
- NPI 1326030974
-
- Medicare Defined Swing Bed Hospital Unit
- Wagner, SD
- NPI 1629135645
Hospital & facility affiliations 32
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1154531630
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1184834764
-
- Endocrinology, Diabetes & Metabolism Physician
- Sioux Falls, SD
- NPI 1396711016
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213056000000",
"number": "1194778738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5009",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175009",
"telephone_number": "605-977-5000",
"fax_number": "605-977-5377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4520 W 69TH ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571088148",
"telephone_number": "605-977-5000",
"fax_number": "605-977-5377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMA",
"first_name": "RIYAD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2008-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "SD",
"license": "3476",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "SD",
"license": "3476",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SD BCBS",
"identifier": "0003382",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "931451029039",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "24684",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "165028",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IA BCBS",
"identifier": "53992",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "431200700",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1981787",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6002492",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAKOTACARE",
"identifier": "3476",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN BCBS - PLAN 91057NO",
"identifier": "4R614MO",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.