NPIMap

Organization Active NPI

Siouxland Anesthesiology, LTD

  • Pain Medicine (Anesthesiology) Physician
  • Dakota Dunes, SD
National Provider Identifier
1669496337
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
SIOUXLAND ANESTHESIOLOGY, LTD
Practice address
600 N Sioux Point Rd
Dakota Dunes, SD 57049-5000
Phone
(605) 232-3332
NPI assigned
Jul 27, 2006
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Anthony J Reilly
Title
Authorized Official
Phone
(605) 217-7246

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207LP2900X Primary
Certified Registered Nurse AnesthetistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 367500000X

Addresses

Primary practice location

600 N Sioux Point Rd
Dakota Dunes, SD 57049-5000

Mailing address

PO Box 848
Sioux Falls, SD 57101-0848
Phone (605) 339-6525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040529000159 SD Part B Supplier - Clinic/Group Practice 2668453069 Receives reassigned benefits from 61 practitioners
Practice locations: Dakota Dunes, SD
O20180604002828 NE Part B Supplier - Clinic/Group Practice 2668453069 Receives reassigned benefits from 7 practitioners
Practice locations: South Sioux City, NE; Norfolk, NE

National Provider Directory

National Provider Directory

Locations

101 Tower Rd
Ste 201
North Sioux City, SD 57049
Phone (605) 232-3332

Practitioners & affiliated clinicians

Practitioners 79

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 79

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1669496337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571010848",
            "telephone_number": "605-339-6525",
            "fax_number": "605-339-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N SIOUX POINT RD",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495000",
            "telephone_number": "605-232-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIOUXLAND ANESTHESIOLOGY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "605-217-7246"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.