Abdalah Eltayeb Mahmoud Ahmed, MD
Individual provider Active NPI Internal Medicine Physician · Sioux Falls, SD
NPI 1457091993 · NPPES record last updated Aug 6, 2025
Key facts
- NPI
- 1457091993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 17578 (SD)
- Practice address
- 1325 S Cliff Ave
Sioux Falls, SD 57105-1007 - Phone
- (605) 322-8000
- Fax
- (605) 333-8414
- NPI assigned
- Mar 31, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 28
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Avera McKennan
Practice addresses (Care Compare)
1325 S Cliff Ave
Sioux Falls, SD 57105-1007
300 W 5TH St
Miller, SD 57362-1238
Phone (605) 853-0158
901 E Virgil Ave
Milbank, SD 57252-2124
Phone (605) 432-4538
Hospital & facility affiliations
- Avera McKennan Hospital & University Health Center
- Lakes Regional Healthcare
- Avera Marshall Regional Medical Ctr
- Avera St Lukes
- Avera Heart Hospital of South Dakota
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 |
|---|---|---|---|---|
| I20251009003064 | SD | Practitioner - Hospitalist |
6103323688 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current |
Accepting new patients | |
| Avera McKennan | Current |
Accepting new patients | |
| Avera McKennan | Past | Accepting new patients | |
| Avera McKennan | Internal Medicine | Past | Accepting new patients |
Locations
300 W 5th St
Miller, SD 57362
Phone (605) 853-0158
1325 S Cliff Ave
Sioux Falls, SD 57105
Phone (605) 322-5000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 17578 | SD | Yes |
Addresses
Primary practice location
1325 S Cliff Ave
Sioux Falls, SD 57105-1007
Mailing address
1325 S Cliff Ave
Sioux Falls, SD 57105-1007
Phone (605) 322-8000
Other providers in Sioux Falls, SD
- Agape Home Care LLC
- Chelsey Gayle Ahlers
- Emily Ahlers
- Holly Ahlers
- Mary Ahmadi
- Mamoon Ahmed
- Mishka Ahmed
- Mohammad Ahmed
- Sameer Ahmed
- Michelle Ahnberg
All providers in Sioux Falls, SD · Internal Medicine 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 Aug 6, 2025. 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.