Individual provider Active NPI

Gregory George Niederauer, MD

  • Anesthesiology Physician
  • Sioux Falls, SD
National Provider Identifier
1447471412
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
7470 Issued in SD
Practice address
1100 E 26TH St
Sioux Falls, SD 57105-4046
Phone
(605) 338-7098
Fax
(605) 335-3505
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 7470 SD Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 7470 SD

Addresses

Primary practice location

1100 E 26TH St
Sioux Falls, SD 57105-4046

Mailing address

1100 E 26TH St
Sioux Falls, SD 57105-4046
Phone (605) 338-7098

Other identifiers 1

IdentifierTypeStateIssuer
5707310MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20090728000599 SD Practitioner - Anesthesiology 4183777881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Sanford School of Medicine of University of South Dakota, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesiology Associates IncGroup PAC ID 2668364548, 27 clinicians

Practice addresses (Care Compare)

910 E 20TH St
Sioux Falls, SD 57105-1012
Phone (602) 338-7098

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7470SDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiology Associates, Inc. CurrentSince Jul 1, 2009 Accepting new patients
Anesthesiology Associates Past Accepting new patients

Locations

1100 E 26th St
Sioux Falls, SD 57105
Phone (605) 338-7098

910 E 20th St
Sioux Falls, SD 57105
Phone (602) 338-7098

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 and National Provider Directory roles.

Hospital & facility affiliations 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251763200000",
    "number": "1447471412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E 26TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571054046",
            "telephone_number": "605-338-7098",
            "fax_number": "605-335-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E 26TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571054046",
            "telephone_number": "605-338-7098",
            "fax_number": "605-335-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEDERAUER",
        "first_name": "GREGORY",
        "middle_name": "GEORGE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2009-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SD",
            "license": "7470",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "SD",
            "license": "7470",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5707310",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.