Individual provider Active NPI

Brenda T Nyatanga, MD

  • Cardiovascular Disease Physician
  • Sioux City, IA
National Provider Identifier
1861058281
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD-53984 Issued in IA
Practice address
5885 Sunnybrook Dr Ste L200
Sioux City, IA 51106-4251
Phone
(712) 239-4702
NPI assigned
May 10, 2019
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Cardiovascular Disease Physician 207RC0000X MD-53984 IA Primary

Addresses

Primary practice location

5885 Sunnybrook Dr Ste L200
Sioux City, IA 51106-4251

Mailing address

5885 Sunnybrook Dr Ste L200
Sioux City, IA 51106-4251
Phone (712) 239-4702

Other practice location 1

2730 Pierce St Ste 300B
Sioux City, IA 51104-3796
Phone (712) 239-4702

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
I20250818003355 IA Practitioner - Internal Medicine 2567790918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5885 Sunnybrook Dr
Suite L200
Sioux City, IA 51106-4251
Phone (712) 239-4702

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Northwest Iowa Hospital Corporation CurrentSince Aug 1, 2025 Accepting new patients
St Lukes Health Resources Past Accepting new patients

Locations

2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000

2730 Pierce St
Ste 300B
Sioux City, IA 51104
Phone (712) 239-4702

5885 Sunnybrook Dr
Ste L200
Sioux City, IA 51106
Phone (712) 239-4702

Interoperability endpoints

  • Direct secure messaging: bnyatanga1201872@direct.unitypoint.org
  • Direct secure messaging: brenda.nyatanga@xdr.hhchealthdirect.org

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1557446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1861058281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 SUNNYBROOK DR STE L200",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064251",
            "telephone_number": "712-239-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5885 SUNNYBROOK DR STE L200",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064251",
            "telephone_number": "712-239-4702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2730 Pierce St Ste 300B",
            "address_purpose": "LOCATION",
            "city": "Sioux City",
            "state": "IA",
            "postal_code": "511043796",
            "country_code": "US",
            "telephone_number": "712-239-4702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NYATANGA",
        "first_name": "BRENDA",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-10",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IA",
            "license": "MD-53984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.