Individual provider Active NPI

Nicholas Kohles, M.D.

  • Family Medicine Physician
  • Dakota Dunes, SD
National Provider Identifier
1700234135
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16776 Issued in SD
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

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
VAD000OtherMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251015002931 IA Practitioner - Family Practice 6901140284 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Mercy Medical Services CurrentSince Apr 1, 2025 Accepting new patients
Iowa Physicians Clinic Medical Foundation Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Mercy Medical Services Family Medicine PastSince Apr 1, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.