Active NPI
Liem Som Oei MD PC
- Nephrology Physician
- Dakota Dunes, SD
National Provider Identifier
1821044884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- LIEM SOM OEI MD PC
- Doing business as
- Renal Associates PC
- Practice address
- 357 W Tower Rd
Dakota Dunes, SD 57049-5018 - Phone
- (712) 255-7746
- Fax
- (712) 255-0829
- NPI assigned
- May 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Teri Harris
- Title
- Office Manager
- Phone
- (712) 255-7746
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
357 W Tower Rd
Dakota Dunes, SD 57049-5018
Mailing address
357 W Tower Rd
Dakota Dunes, SD 57049-5018
Phone (712) 255-7746
Other practice location 1
801 5th St
Sioux City, IA 51101-1326
Phone (712) 255-7746
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 098555 | Other | NEBRASKA MEDICARE PTAN | |
| S108150 | Other | SD | SOUTH DAKOTA PTAN |
| 02895 | Other | IA | WELLMARK |
| 0028951 | Medicaid | IA | |
| CI7806 | Other | RAILROAD MEDICARE |
Other names 1
- Renal Associates PC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040311000536 | IA | Part B Supplier - Clinic/Group Practice | 7618886789 |
Receives reassigned benefits from 11 practitioners Practice locations: Sioux City, IA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- North Sioux City, SD
- NPI 1740703990
IA, Internal Medicine
-
- Nephrology Physician
- Sioux City, IA
- NPI 1043265176
-
- Physician Assistant
- Sioux City, IA
- NPI 1285045427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1821044884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "357 W TOWER RD",
"city": "DAKOTA DUNES",
"state": "SD",
"postal_code": "570495018",
"telephone_number": "712-255-7746",
"fax_number": "712-255-0829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "357 W TOWER RD",
"city": "DAKOTA DUNES",
"state": "SD",
"postal_code": "570495018",
"telephone_number": "712-255-7746",
"fax_number": "712-255-0829"
}
],
"practiceLocations": [
{
"address_1": "801 5th St",
"address_purpose": "LOCATION",
"city": "Sioux City",
"state": "IA",
"postal_code": "511011326",
"country_code": "US",
"telephone_number": "712-255-7746",
"fax_number": "712-255-0829",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LIEM SOM OEI MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-25",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "TERI",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "712-255-7746"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEBRASKA MEDICARE PTAN",
"identifier": "098555",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTH DAKOTA PTAN",
"identifier": "S108150",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "02895",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0028951",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CI7806",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Renal Associates PC",
"code": "3",
"type": "Doing Business As"
}
]
}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 Jul 21, 2022; 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.