Sami M Awadallah, M.D.
Individual provider Active NPI Pediatric Cardiology Physician · Sioux Falls, SD
NPI 1265408728 · NPPES record last updated Dec 19, 2013
Key facts
- NPI
- 1265408728
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Cardiology Physician 2080P0202X
- License
- 3446 (SD)
- Practice address
- 1417 S. Cliff Ave
Ste. 010
Sioux Falls, SD 57105-1014 - Phone
- (605) 322-3666
- Fax
- (605) 322-3665
- NPI assigned
- Feb 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 23
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Avera McKennan
Avera St Marys
Practice addresses (Care Compare)
100 Mac LN
Pierre, SD 57501-3391
Phone (605) 224-5901
1417 S Cliff Ave
Suite 010
Sioux Falls, SD 57105-1014
Phone (605) 322-3666
201 S Lloyd St
Suite E205
Aberdeen, SD 57401-4509
Phone (605) 322-4130
801 E Sioux Ave
Pierre, SD 57501-3323
Phone (605) 224-5901
Hospital & facility affiliations
- Avera McKennan Hospital & University Health Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100806000468 | SD | Practitioner - Cardiovascular Disease (Cardiology) |
7517090871 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3446 | SD | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current |
Accepting new patients | |
| Avera St Marys | Current | Accepting new patients | |
| Avera McKennan | Current |
Accepting new patients | |
| Avera St Marys | Current |
Accepting new patients | |
| Avera St Marys | Current |
Accepting new patients | |
| Nebraska Pediatric Practice, Inc | Past | Accepting new patients | |
| Avera McKennan | Past | Accepting new patients |
Locations
305 S State St
Aberdeen, SD 57401
Phone (605) 229-3000
1417 S Cliff Ave
Ste 10
Sioux Falls, SD 57105
Phone (605) 322-3666
Interoperability endpoints
- sami.awadallah@avera.sdhealthlink.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | 3446 | SD | Yes |
Addresses
Primary practice location
1417 S. Cliff Ave
Ste. 010
Sioux Falls, SD 57105-1014
Mailing address
2400 S. Minnesota Ave
Ste 100
Sioux Falls, SD 57105-3762
Phone (605) 322-7510
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46022474339 | Medicaid | NE | |
| 276575600 | Medicaid | MN | |
| 370624200 | Other | SD | DEPT OF LABOR |
| 7958 | Other | SD | MIDLANDS CHOICE |
| 1976670 | Medicaid | IA | |
| 6002362 | Medicaid | SD | |
| 722801028065 | Other | SD | PREFERRED ONE |
| 0008229 | Other | SD | BLUE CROSS |
| 034T5AW | Other | MN | BLUE CROSS |
| 034T5AW | Other | MN | CC SYSTEMS/ BLUE PLUS |
| 13414 | Medicaid | ND | |
| 370019670 | Other | SD | RR MEDICARE |
| 24237 | Other | SD | ARAZ/ AMERICA'S PPO |
| 24981 | Other | SD | SANFORD HEALTH PLAN |
| 3446 | Other | SD | DAKOTACARE |
| 2500708 | Other | SD | MEDICA |
| 57105I003 | Other | SD | WPS TRICARE |
| HP24496 | Other | SD | HEALTHPARTNERS |
Other providers in Sioux Falls, SD
- Avera McKennan
- Avera McKennan Hospital and Health System
- Avera McKennan Hospital Medical Staff
- William H. Avery
- Mohammed T T Awad
- Jeremy Awori
- Axiom Chiropractic
- Axiom Chiropractic PC
- Axtman Inc
- David D Axtman
All providers in Sioux Falls, SD · Pediatric Cardiology Physician in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.