Cynthia Ann Comly-Van Andel, M.D.
Individual provider Active NPI Family Medicine Physician · Sioux Falls, SD
NPI 1700879152 · NPPES record last updated Aug 20, 2021
Key facts
- NPI
- 1700879152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2004-0082 (NM)
- Practice address
- 6101 S Louise Ave
Sioux Falls, SD 57108-5981 - Phone
- (605) 312-8000
- Fax
- (605) 312-8001
- NPI assigned
- Aug 31, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 21
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of New Mexico School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sanford Medical Center
Practice addresses (Care Compare)
1301 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-2200
1305 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-7300
4405 E 26TH St
Sioux Falls, SD 57103-4187
Phone (605) 332-2883
6101 S Louise Ave
Sioux Falls, SD 57108-5981
Phone (605) 328-8000
Hospital & facility affiliations
- Aveanna Home Health
- Sanford Usd Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.78 of 100
- Quality
- 78.77
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.49
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NM, SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040824001085 | NM | Practitioner - Family Practice | 4981678091 | Reassigns benefits to 1 organization |
| I20210831003533 | SD | Practitioner - Family Practice | 4981678091 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004-0082 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Clinic | Current |
Accepting new patients | |
| Sanford Clinic | Current | Accepting new patients | |
| Sanford Medical Center | Family Medicine | Current |
Accepting new patients |
| Sanford Clinic | Current |
Accepting new patients | |
| El Centro Family Health | Current |
Accepting new patients | |
| El Centro Family Health | Past |
Accepting new patients | |
| El Centro Family Health | Past | Accepting new patients | |
| Salinas Valley Primecare Medical Group Inc | Past | Accepting new patients |
Locations
711 E Bond St
Espanola, NM 87532
Phone (505) 753-9503
538 N Paseo de Onate
Espanola, NM 87532
Phone (505) 753-7218
2010 Industrial Park Rd
Espanola, NM 87532
Phone (505) 753-3143
525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000
6101 S Louise Ave
Sioux Falls, SD 57108
Phone (605) 312-8000
1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300
4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2004-0082 | NM | Yes |
Addresses
Primary practice location
6101 S Louise Ave
Sioux Falls, SD 57108-5981
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03824551 | Medicaid | NM | |
| NM400317 | Other | NM | MEDICARE PTAN |
Other names
- Dr. Cynthia Ann Comly
Other providers in Sioux Falls, SD
- Paul D Colon
- Alissa Colshan
- Denton W Combs
- Josefine Combs
- Comfort Medical LLC
- Community Coordinated Transportation System
- Compassionate Bridged Care Services LLC
- Compassionate Care Hospice of the Midwest, LLC
- Compassionate Connections Counseling Services LLC
- Compassionate Nutrition
All providers in Sioux Falls, SD · Family Medicine Physician in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.