Individual provider Active NPI

Jeffrey Patrick Michalak, DO

  • Gastroenterology Physician
  • Dakota Dunes, SD
National Provider Identifier
1962622431
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
8388 Issued in SD
Practice address
575 N Sioux Point Road
Dakota Dunes, SD 57049-5312
Phone
(605) 217-2667
Fax
(605) 217-2900
NPI assigned
Apr 26, 2007
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 933 NE
Gastroenterology Physician 207RG0100X DO-04307 IA
Gastroenterology Physician 207RG0100X 8388 SD Primary

Addresses

Primary practice location

575 N Sioux Point Road
Dakota Dunes, SD 57049-5312

Mailing address

575 N Sioux Point Road
Dakota Dunes, SD 57049-5312
Phone (605) 217-2667

Other practice location 1

705 N Sioux Point Rd
Suite 100
Dakota Dunes, SD 57049-5091
Phone (605) 217-5500

Other identifiers 3

IdentifierTypeStateIssuer
1962622431MedicaidNH
1962622431MedicaidIA
1962622431MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, IA, NE3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20120724000566 SD Practitioner - Gastroenterology 7911071535 Reassigns benefits to 1 organization
I20120725001029 IA Practitioner - Gastroenterology 7911071535 Reassigns benefits to 1 organization
I20221110000457 NE Practitioner - Gastroenterology 7911071535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cnos PCGroup PAC ID 4284548942, 98 clinicians

Practice addresses (Care Compare)

2735 Outer Dr N
Cnos Northside
Sioux City, IA 51104-1590
Phone (712) 224-5692

575 N Sioux Point Rd
Dakota Dunes, SD 57049-5312
Phone (605) 217-2667

600 N Sioux Point Rd
Dakota Dunes, SD 57049-5000
Phone (605) 232-3332

705 N Sioux Point Rd
Suite 100
Dakota Dunes, SD 57049-5091
Phone (605) 217-2667

801 5TH St
Sioux City, IA 51101-1326
Phone (712) 279-2010

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy383
Upper gastrointestinal (GI) endoscopy for acid reflux325

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO-04307IAMDGastroenterology Physician
933NEMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cnos PC CurrentSince Jan 1, 2023 Accepting new patients
Cnos, PC CurrentSince Jan 1, 2023 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Siouxland Pulmonary Critical Care & Sleep PC Past Accepting new patients

Locations

300 Sioux Valley Dr
Cherokee, IA 51012
Phone (712) 225-3368

1301 W Main St
Lake City, IA 51449
Phone (712) 464-3171

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

2735 Outer Dr N
Sioux City, IA 51104
Phone (712) 224-5692

801 5th St
Sioux City, IA 51101
Phone (712) 279-2010

5708 Sunnybrook Ct
Sioux City, IA 51106

201 E 4th St
Ste 202
South Sioux City, NE 68776

1200 Providence Rd
Wayne, NE 68787
Phone (402) 375-3800

575 N Sioux Point Rd
North Sioux City, SD 57049
Phone (605) 217-2615

705 N Sioux Point Rd
Ste 100
North Sioux City, SD 57049
Phone (605) 217-5566

Interoperability endpoints

  • Direct secure messaging: jmichalak128319@direct.unitypoint.org
  • Direct secure messaging: jeffreymichalak@cnos.allscriptsdirect.net

Organizations & group practices 4

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 6

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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1962622431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 N SIOUX POINT ROAD",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495312",
            "telephone_number": "605-217-2667",
            "fax_number": "605-217-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 N SIOUX POINT ROAD",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495312",
            "telephone_number": "605-217-2667",
            "fax_number": "605-217-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 N Sioux Point Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Dakota Dunes",
            "state": "SD",
            "postal_code": "570495091",
            "country_code": "US",
            "telephone_number": "605-217-5500",
            "fax_number": "605-217-5515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHALAK",
        "first_name": "JEFFREY",
        "middle_name": "PATRICK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NE",
            "license": "933",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IA",
            "license": "DO-04307",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SD",
            "license": "8388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962622431",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962622431",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962622431",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dakota Dunes, SD

Sources for this page

Verify at the official NPI Registry.