Active NPI
Robert Vomacka
- Physician Assistant
- Sioux City, IA
National Provider Identifier
1821775339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 801 5TH St
Sioux City, IA 51101-1326 - Phone
- (712) 279-2010
- NPI assigned
- Jun 28, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
801 5TH St
Sioux City, IA 51101-1326
Mailing address
825 W Walnut St Apt E
Indianapolis, IN 46202-3184
Other practice location 1
825 W Walnut St Apt E
Indianapolis, IN 46202-3184
Phone (605) 830-2996
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
801 5TH St
Sioux City, IA 51101-1326
Phone (712) 279-2010
Hospital & facility affiliations
- St Lukes Regional Medical Center
- Mercyone Siouxland Medical Center
- Burgess Health Center
- Humboldt County Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
-
- Hospitalist Physician
- Sioux City, IA
- NPI 1427789148
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Onawa, IA
- NPI 1730253360
-
- Critical Access Hospital
- Humboldt, IA
- NPI 1194702977
-
- 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": "1687910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736726400000",
"number": "1821775339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 W WALNUT ST APT E",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462023184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 5TH ST",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511011326",
"telephone_number": "712-279-2010"
}
],
"practiceLocations": [
{
"address_1": "825 W Walnut St Apt E",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462023184",
"country_code": "US",
"telephone_number": "605-830-2996",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VOMACKA",
"first_name": "ROBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-28",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.