Individual provider Active NPI

Sara Jdiaa, MD

  • Nephrology Physician
  • Dakota Dunes, SD
National Provider Identifier
1346047222
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD-53582 Issued in IA
Practice address
357 W Tower Rd
Dakota Dunes, SD 57049-5018
Phone
(605) 217-7746
NPI assigned
Feb 27, 2025
Last updated
Mar 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD-53582 IA Primary

Addresses

Primary practice location

357 W Tower Rd
Dakota Dunes, SD 57049-5018

Mailing address

357 W Tower Rd
Dakota Dunes, SD 57049-5018
Phone (605) 217-7746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250408003630 IA Practitioner - Nephrology 6709300049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Liem Som Oei MD PCGroup PAC ID 7618886789, 6 clinicians

Practice addresses (Care Compare)

801 5TH St
Sioux City, IA 51101-1326
Phone (712) 255-7746

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-53582IAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Liem Som Oei MD PC Nephrology CurrentSince Apr 1, 2025 Accepting new patients
Liem Som Oei MD PC Nephrology CurrentSince Apr 1, 2025 Accepting new patients

Locations

801 5th St
Sioux City, IA 51101
Phone (712) 279-2010

357 W Tower Rd
North Sioux City, SD 57049
Phone (605) 232-1901

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1346047222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 W TOWER RD",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495018",
            "telephone_number": "605-217-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 W TOWER RD",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495018",
            "telephone_number": "605-217-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JDIAA",
        "first_name": "SARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IA",
            "license": "MD-53582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dakota Dunes, SD

Sources for this page

Verify at the official NPI Registry.