Individual provider Active NPI

Chandler Kasuske

  • Obstetrics & Gynecology Physician
  • Sioux City, IA
National Provider Identifier
1831684992
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
49017 Issued in IA
Practice address
2730 Pierce St Ste 201
Sioux City, IA 51104-3764
Phone
(712) 277-3141
Fax
(712) 277-2645
NPI assigned
Jun 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 49017 IA Primary

Addresses

Primary practice location

2730 Pierce St Ste 201
Sioux City, IA 51104-3764

Mailing address

2730 Pierce St Ste 201
Sioux City, IA 51104-3764
Phone (712) 277-3141

Other identifiers 1

IdentifierTypeStateIssuer
1831684992MedicaidIA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.siouxlandobgyn.com Other

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220714003421 IA Practitioner - Obstetrics/Gynecology 2466701164 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Sanford School of Medicine of University of South Dakota, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Siouxland Obstetrics and Gynecology PCGroup PAC ID 3678463494, 6 clinicians

Practice addresses (Care Compare)

2730 Pierce St
Suite 201
Sioux City, IA 51104-3764
Phone (712) 277-3141

Hospital & facility affiliations

  • St Lukes Regional Medical Center Hospital, Sioux City, IA, CCN 160146
  • Cherokee Regional Medical Center Hospital, Cherokee, IA, CCN 161362

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
49017IAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Siouxland Obstetrics & Gynecology, P.C. Obstetrics & Gynecology CurrentSince Aug 1, 2022 Accepting new patients
Siouxland Community Health Center CurrentSince Sep 1, 2022 Accepting new patients
Avera McKennan PastSince Aug 1, 2022 Accepting new patients
Siouxland Community Health Center Past Accepting new patients
Northwest Iowa Hospital Corporation Past Accepting new patients

Locations

1021 Nebraska St
Sioux City, IA 51105
Phone (712) 252-2477

2730 Pierce St
Ste 201
Sioux City, IA 51104
Phone (712) 277-3138

1021 Nebraska St
Ste 5410
Sioux City, IA 51105

Interoperability endpoints

  • Direct secure messaging: ckasuske637108@direct.ochin.org
  • Direct secure messaging: ckasuske903961@direct.unitypoint.org

Organizations & group practices 6

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 2

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": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1831684992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 PIERCE ST STE 201",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043764",
            "telephone_number": "712-277-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 PIERCE ST STE 201",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043764",
            "telephone_number": "712-277-3141",
            "fax_number": "712-277-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASUSKE",
        "first_name": "CHANDLER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "49017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831684992",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.siouxlandobgyn.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "website",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "wesbite",
            "address_1": "2730 Pierce St Ste 201",
            "city": "Sioux City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "511043764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.