Individual provider Active NPI

Fahima A Qalbani, M.D.

  • Diagnostic Radiology Physician
  • Dakota Dunes, SD
National Provider Identifier
1629071881
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2590 Issued in SD
Practice address
612 N Sioux Point Rd
Ste 500
Dakota Dunes, SD 57049-5084
Phone
(605) 232-6200
Fax
(605) 235-0004
NPI assigned
May 23, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2590 SD Primary
Diagnostic Ultrasound Physician 2085U0001X 2590 SD

Addresses

Primary practice location

612 N Sioux Point Rd
Ste 500
Dakota Dunes, SD 57049-5084

Mailing address

612 N Sioux Point Rd
Ste 500
Dakota Dunes, SD 57049-5084
Phone (605) 232-6200

Other identifiers 4

IdentifierTypeStateIssuer
421337911-01MedicaidNE
0035261MedicaidIA
7202340MedicaidSD
421337911-00MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, SD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050105001119 IA Practitioner - Diagnostic Radiology 8628026770
I20070802000343 SD Practitioner - Diagnostic Radiology 8628026770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

330 Dakota Dunes Blvd
Suite 200
Dakota Dunes, SD 57049-5462
Phone (605) 232-6200

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
82.54
Promoting interoperability
89.05
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2590SDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation CurrentSince Aug 1, 2025 Accepting new patients
Mercy Medical Services Past Accepting new patients

Locations

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

330 Dakota Dunes Blvd
Ste 200
Dakota Dunes, SD 57049
Phone (605) 232-6200

350 Gold Cir
Dakota Dunes, SD 57049
Phone (605) 540-3000

711 N Sioux Point Rd
Ste 100
Dakota Dunes, SD 57049
Phone (712) 222-7970

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.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1629071881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 N SIOUX POINT RD",
            "address_2": "STE 500",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495084",
            "telephone_number": "605-232-6200",
            "fax_number": "605-235-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 N SIOUX POINT RD",
            "address_2": "STE 500",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495084",
            "telephone_number": "605-232-6200",
            "fax_number": "605-235-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QALBANI",
        "first_name": "FAHIMA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SD",
            "license": "2590",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "SD",
            "license": "2590",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "421337911-01",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0035261",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7202340",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "421337911-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dakota Dunes, SD

Sources for this page

Verify at the official NPI Registry.