Individual provider Active NPI

Riyad Mohama, MD

  • Clinical Cardiac Electrophysiology Physician
  • Sioux Falls, SD
National Provider Identifier
1194778738
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
3476 Issued in SD
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

Updated by the provider on Jun 10, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0003382OtherSDSD BCBS
931451029039OtherPREFERRED ONE
24684OtherHEALTH PARTNERS
165028OtherUCARE
53992OtherIAIA BCBS
431200700MedicaidMN
1981787MedicaidIA
6002492MedicaidSD
3476OtherSDDAKOTACARE
4R614MOOtherMNMN BCBS - PLAN 91057NO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, SD, MN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20050429000758 IA Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 4284673104 Reassigns benefits to 3 organizations
I20071003000856 SD Practitioner - Cardiac ElectrophysiologyPractitioner - Other (Physician)Practitioner - Cardiovascular Disease (Cardiology) 4284673104 Reassigns benefits to 5 organizations
I20131231000383 MN Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 4284673104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart Hospital of South Dakota LLCGroup PAC ID 5799777249, 66 clinicians
Wagner Community Memorial HospitalGroup PAC ID 3577459700, 17 clinicians

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 Hospital, Sioux Falls, SD, CCN 430095
  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016
  • Spencer Municipal Hospital Hospital, Spencer, IA, CCN 160112
  • Lakes Regional Healthcare Hospital, Spirit Lake, IA, CCN 160124
  • Avera St Mary'S Hospital Hospital, Pierre, SD, CCN 430015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3474SDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wagner Community Memorial Hospital Current Accepting new patients
Avera Holy Family CurrentSince Sep 19, 2023 Accepting new patients
Wagner Community Memorial Hospital CurrentSince May 14, 2022 Accepting new patients
Spencer Municipal Hospital CurrentSince Mar 23, 2021 Accepting new patients
Heart Hospital of South Dakota LLC CurrentSince Aug 12, 2017 Accepting new patients
Wagner Community Memorial Hospital CurrentSince May 14, 2022 Accepting new patients
Regional Health Services of Howard County CurrentSince Apr 1, 2022 Accepting new patients
Heart Hospital of South Dakota LLC Cardiovascular Disease CurrentSince Dec 23, 2012 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 CurrentSince Mar 23, 2021 Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
Avera McKennan CurrentSince Sep 1, 2020 Accepting new patients
Avera McKennan CurrentSince Sep 1, 2020 Accepting new patients
Regional Health Services of Howard County CurrentSince Apr 1, 2022 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

  • Direct secure messaging: 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.

View all 16

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": "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

Verify at the official NPI Registry.