Active NPI
Noel Dexter Luis Tiangco, M.D.
- Pulmonary Disease Physician
- Sioux Falls, SD
National Provider Identifier
1205018363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 8277
- Practice address
- 1301 S Cliff Ave
Ste 601
Sioux Falls, SD 57105-1032 - Phone
- (605) 322-6930
- Fax
- (605) 322-6931
- NPI assigned
- Nov 30, 2007
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | MD443965 | PA | |
| Pulmonary Disease Physician | 207RP1001X | 8277 | SD | Primary |
Addresses
Primary practice location
1301 S Cliff Ave
Ste 601
Sioux Falls, SD 57105-1032
Mailing address
PO Box 86370
Sioux Falls, SD 57118-6370
Phone (605) 322-7510
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6007440 | Medicaid | SD | |
| 6007442 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, MN, IA
- 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
- Pulmonary Disease
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1301 S Cliff Ave
Suite 610
Sioux Falls, SD 57105-1032
Phone (605) 322-8860
1325 S Cliff Ave
Sioux Falls, SD 57105-1007
300 22ND Ave
Brookings, SD 57006-2480
Phone (605) 504-1600
4500 W 69TH St
Sioux Falls, SD 57108-8148
Phone (605) 322-9777
4520 W 69TH St
Sioux Falls, SD 57108-8148
Phone (605) 977-5000
901 E Virgil Ave
Milbank, SD 57252-2124
Phone (605) 432-4538
Hospital & facility affiliations
- Avera McKennan Hospital & University Health Center
- Avera St Mary'S Hospital
- Sioux Center Health
- Spencer Municipal Hospital
- Avera Heart Hospital of South Dakota
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1652 | MN | MD | Neonatal/Pediatric Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Pulmonary Disease | Current | Accepting new patients |
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients |
Locations
1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164
911 5th Ave SW
Pipestone, MN 56164
Phone (507) 825-5811
1301 S Cliff Ave
Ste 601
Sioux Falls, SD 57105
Phone (605) 322-6930
Interoperability endpoints
- noel.tiangco@avera.sdhealthlink.net
Organizations & group practices 6
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
SD
-
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Sioux Falls, SD
- NPI 1356629497
Hospital & facility affiliations 32
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- 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": "1196380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539561600000",
"number": "1205018363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 86370",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571186370",
"telephone_number": "605-322-7510",
"fax_number": "605-322-6475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 S CLIFF AVE",
"address_2": "STE 601",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051032",
"telephone_number": "605-322-6930",
"fax_number": "605-322-6931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIANGCO",
"first_name": "NOEL DEXTER",
"middle_name": "LUIS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-30",
"last_updated": "2018-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "PA",
"license": "MD443965",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "SD",
"license": "8277",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6007440",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6007442",
"state": "SD"
}
],
"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 Oct 15, 2018; 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.