Active NPI
Nicholas Kohles, M.D.
- Family Medicine Physician
- Dakota Dunes, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 16776
- Practice address
- 711 N Sioux Point Rd Ste 100
Dakota Dunes, SD 57049-5067 - Phone
- (712) 222-7970
- Fax
- (712) 294-7464
- NPI assigned
- May 26, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 30226 | NE | |
| Family Medicine Physician | 207Q00000X | 16776 | SD | Primary |
Addresses
Primary practice location
711 N Sioux Point Rd Ste 100
Dakota Dunes, SD 57049-5067
Mailing address
711 N Sioux Point Rd Ste 100
Dakota Dunes, SD 57049-5067
Phone (712) 222-7970
Other practice location 1
4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098
Phone (573) 596-0417
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VAD000 | Other | MEDICARE UPIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Sanford School of Medicine of University of South Dakota, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Kansas City, MO 64184
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Medical Services | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Family Medicine | Current | Accepting new patients |
| Mercy Medical Services | Family Medicine | Past | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
3035 Hamilton Blvd
Sioux City, IA 51104
Phone (712) 535-7400
801 5th St
Sioux City, IA 51101
Phone (712) 279-2010
330 Dakota Dunes Blvd
Ste 150
Dakota Dunes, SD 57049
Phone (712) 294-7390
711 N Sioux Point Rd
Ste 100
Dakota Dunes, SD 57049
Phone (712) 222-7970
350 Gold Cir
Dakota Dunes, SD 57049
Phone (605) 540-3000
711 N Sioux Point Rd
North Sioux City, SD 57049
Phone (712) 294-7020
Interoperability endpoints
- nicholas.kohles.p20@direct.trinity-healthiowa.nextgenshare.com
Organizations & group practices 3
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.
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
Family Medicine
-
- Internal Medicine Physician
- Sioux City, IA
- NPI 1548203193
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sioux City, IA
- NPI 1962594622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759190400000",
"number": "1700234135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 N SIOUX POINT RD STE 100",
"city": "DAKOTA DUNES",
"state": "SD",
"postal_code": "570495067",
"telephone_number": "712-222-7970",
"fax_number": "712-294-7464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 N SIOUX POINT RD STE 100",
"city": "DAKOTA DUNES",
"state": "SD",
"postal_code": "570495067",
"telephone_number": "712-222-7970",
"fax_number": "712-294-7464"
}
],
"practiceLocations": [
{
"address_1": "4430 Missouri Ave",
"address_purpose": "LOCATION",
"city": "Fort Leonard Wood",
"state": "MO",
"postal_code": "654739098",
"country_code": "US",
"telephone_number": "573-596-0417",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOHLES",
"first_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-26",
"last_updated": "2025-09-30",
"certification_date": "2025-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "30226",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SD",
"license": "16776",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE UPIN",
"identifier": "VAD000",
"state": null
}
],
"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 Sep 30, 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.