Active NPI
Mir Hyder Ali, MD
- Pediatric Critical Care Medicine Physician
- Sioux Falls, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 7763
- Practice address
- 1600 W 22ND St
Sioux Falls, SD 57105-1521 - Phone
- (605) 312-1000
- Fax
- (605) 312-1001
- NPI assigned
- Jul 11, 2008
- Last updated
- Mar 29, 2022
- 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 |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | 7763 | SD | Primary |
Addresses
Primary practice location
1600 W 22ND St
Sioux Falls, SD 57105-1521
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mali943891@direct.sanfordhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7763 | SD | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Clinic | Current | Accepting new patients | |
| Sanford Medical Center | Current | Accepting new patients | |
| Sanford Clinic | Current | Accepting new patients | |
| Sanford Clinic | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Sanford Clinic | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Sanford Medical Center | Past | Accepting new patients | |
| University at Buffalo Pediatric Associates Inc | Past | Accepting new patients |
Locations
1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342
525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000
1600 W 22nd St
Sioux Falls, SD 57105
Phone (605) 312-1000
4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000
Interoperability endpoints
- mali278731@direct.centracare.com
- mali943891@direct.sanfordhealth.org
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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-
dba Sanford Health Lake Lorraine Eye Clinic
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-
dba CentraCare Occupations Health
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-
dba CentraCare - Sartell Clinic
- Primary Care Clinic/Center
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-
dba Sanford Virtual Health Services
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-
dba Sanford USD Medical Center
- General Acute Care Hospital
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- Pediatrics Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648512000000",
"number": "1841454634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W 22ND ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051521",
"telephone_number": "605-312-1000",
"fax_number": "605-312-1001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "MIR",
"middle_name": "HYDER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-11",
"last_updated": "2022-03-29",
"certification_date": "2022-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "SD",
"license": "7763",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mali943891@direct.sanfordhealth.org",
"affiliation": "N",
"address_1": "1600 W 22nd St",
"city": "Sioux Falls",
"state": "SD",
"country_code": "US",
"postal_code": "571051521",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.