Individual provider Active NPI

Steven Patrick Feeney, M.D.

  • Internal Medicine Physician
  • Sioux City, IA
National Provider Identifier
1649208604
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-46381 Issued in IA
Practice address
801 5TH St
Sioux City, IA 51101-1326
Phone
(712) 279-2010
Fax
(712) 279-2034
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 47907 MN
Internal Medicine Physician 207R00000X 1593 SD
Internal Medicine Physician 207R00000X MD-46381 IA Primary

Addresses

Primary practice location

801 5TH St
Sioux City, IA 51101-1326

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Other practice location 1

1272 Walnut St
Dawson, MN 56232-2333
Phone (320) 769-4393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, 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
I20060112000141 MN Practitioner - Internal Medicine 1153234752 Reassigns benefits to 2 organizations
I20170228002602 SD Practitioner - Internal MedicinePractitioner - Hospitalist 1153234752 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47907MNMDInternal Medicine Physician
1593SDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera St. Mary'S CurrentSince Mar 1, 2022 Accepting new patients
Avera St Marys CurrentSince Mar 1, 2022 Accepting new patients
CCM Health CurrentSince Nov 3, 2018 Accepting new patients
City of Brookings CurrentSince Oct 8, 2021 Accepting new patients
Avera St Marys Current Accepting new patients
CCM Health CurrentSince Nov 3, 2018 Accepting new patients

Locations

1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623

824 N 11th St
Montevideo, MN 56265
Phone (320) 269-8877

300 22nd Ave
Brookings, SD 57006
Phone (605) 692-6351

Organizations & group practices 7

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1649208604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 5TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011326",
            "telephone_number": "712-279-2010",
            "fax_number": "712-279-2034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1272 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Dawson",
            "state": "MN",
            "postal_code": "562322333",
            "country_code": "US",
            "telephone_number": "320-769-4393",
            "fax_number": "320-769-2972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEENEY",
        "first_name": "STEVEN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "47907",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SD",
            "license": "1593",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "MD-46381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.