Active NPI
William Oliver Samuelson IV, MD
- Orthopaedic Surgery Physician
- Dakota Dunes, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 12307
- Practice address
- 575 N Sioux Point Road
Dakota Dunes, SD 57049-5312 - Phone
- (605) 217-2667
- Fax
- (605) 217-2900
- NPI assigned
- Jul 21, 2014
- Last updated
- Dec 10, 2025
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Orthopaedic Surgery Physician | 207X00000X | 60328 | MN | |
| Orthopaedic Surgery Physician | 207X00000X | 32965 | NE | |
| Orthopaedic Surgery Physician | 207X00000X | MD-47819 | IA | |
| Orthopaedic Surgery Physician | 207X00000X | 12307 | SD | Primary |
Addresses
Primary practice location
575 N Sioux Point Road
Dakota Dunes, SD 57049-5312
Mailing address
575 N Sioux Point Road
Dakota Dunes, SD 57049-5312
Phone (605) 217-2667
Other practice location 1
2730 Pierce St Ste 300
Sioux City, IA 51104-3765
Phone (712) 224-8677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, NE, SD
- 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
- Orthopedic Surgery
- Education
- Texas Tech University Health Science Center School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2720 Stone Park Blvd
Sioux City, IA 51104-3734
Phone (712) 279-3500
2735 Outer Dr N
Cnos Northside
Sioux City, IA 51104-1590
Phone (712) 224-5692
575 N Sioux Point Rd
Dakota Dunes, SD 57049-5312
Phone (605) 217-2667
600 N Sioux Point Rd
Dakota Dunes, SD 57049-5000
Phone (605) 232-3332
801 5TH St
Sioux City, IA 51101-1326
Phone (712) 279-2010
Hospital & facility affiliations
- Orange City Area Health System
- Dunes Surgical Hospital
- Floyd Valley Healthcare
- St Lukes Regional Medical Center
- Cherokee Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 262 |
| Laminectomy or laminotomy (partial removal of spine bones) | 72 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-47819 | IA | MD | Orthopaedic Surgery Physician |
| 60328 | MN | MD | Orthopaedic Surgery Physician |
| 32965 | NE | MD | Orthopaedic Surgery Physician |
| 12307 | SD | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Cnos, PC | Orthopaedic Surgery | Current | Accepting new patients |
| Cnos PC | Orthopaedic Surgery | Current | Accepting new patients |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
100 Medical Pkwy
Denison, IA 51442
Phone (712) 265-2500
714 Lincoln St NE
Le Mars, IA 51031
Phone (712) 546-3338
1000 Lincoln Cir SE
Orange City, IA 51041
Phone (712) 737-2000
2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000
2730 Pierce St
Ste 300
Sioux City, IA 51104
Phone (712) 234-1005
2735 Outer Dr N
Sioux City, IA 51104
Phone (712) 224-5692
5708 Sunnybrook Ct
Sioux City, IA 51106
201 E 4th St
Ste 202
South Sioux City, NE 68776
1200 Providence Rd
Wayne, NE 68787
Phone (402) 375-3800
575 N Sioux Point Rd
North Sioux City, SD 57049
Phone (605) 217-2615
600 N Sioux Point Rd
North Sioux City, SD 57049
Phone (605) 217-4320
Interoperability endpoints
- williamsamuelson@cnos.allscriptsdirect.net
- wsamuelson783242@direct.unitypoint.org
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- South Sioux City, NE
- NPI 1750047304
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Dunes Surgical Hospital
- Special Hospital
- Dakota Dunes, SD
- NPI 1093714073
-
- Critical Access Hospital
- Le Mars, IA
- NPI 1326109315
-
dba St Lukes Regional Medical Center
- General Acute Care Hospital
- Sioux City, IA
- NPI 1962594622
-
dba Northwest Surgery
- Specialist
- Orange City, IA
- NPI 1265479323
Hospital
-
dba Orange City Area Health System
- Critical Access Hospital
- Orange City, IA
- NPI 1700856796
-
dba Orange City Area Health System
- Family Medicine Physician
- Orange City, IA
- NPI 1962477992
Hospital
-
dba Cherokee Regional Medical Center
- Critical Access Hospital
- Primghar, IA
- NPI 1689640500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1518374644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 N SIOUX POINT ROAD",
"city": "DAKOTA DUNES",
"state": "SD",
"postal_code": "570495312",
"telephone_number": "605-217-2667",
"fax_number": "605-217-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 N SIOUX POINT ROAD",
"city": "DAKOTA DUNES",
"state": "SD",
"postal_code": "570495312",
"telephone_number": "605-217-2667",
"fax_number": "605-217-2900"
}
],
"practiceLocations": [
{
"address_1": "2730 Pierce St Ste 300",
"address_purpose": "LOCATION",
"city": "Sioux City",
"state": "IA",
"postal_code": "511043765",
"country_code": "US",
"telephone_number": "712-224-8677",
"fax_number": "712-277-1662",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAMUELSON",
"first_name": "WILLIAM",
"middle_name": "OLIVER",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-21",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MN",
"license": "60328",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NE",
"license": "32965",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IA",
"license": "MD-47819",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "SD",
"license": "12307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dakota Dunes, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.