ELIZABETH DIMITRIEVICH MD
NPI 1003834995
Obstetrics & Gynecology - Obstetrics in Sioux Falls, SD

Q: What is Elizabeth Dimitrievich's NPI number?

The NPI number for Elizabeth Dimitrievich is 1003834995. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Q: What is Elizabeth Dimitrievich's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment

625 W 18TH ST, OBGYN SPECIALTY CLINIC, SIOUX FALLS, SD 57105(605) 338-0836(605) 338-7890 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2023, Nov 22, 2022, Jul 14, 2021 (3 updates tracked since 2021).

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About Elizabeth Dimitrievich Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH DIMITRIEVICH MD (NPI 1003834995) is an individual obstetrics provider in Sioux Falls, South Dakota, licensed in Texas (T3072) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with University Medical Center Of El Paso, and maintains a secondary practice location in El Paso.

NPPES Registry Identity

NPI1003834995

Entity TypeIndividualFemale

Primary Taxonomy207VX0000X

Provider Legal NameELIZABETH DIMITRIEVICHCredential: MD

Location Address625 W 18TH ST, OBGYN SPECIALTY CLINICSioux Falls, SD 57105

Mailing Address625 W 18th St, Obgyn Specialty ClinicSioux Falls, SD 57105 · (605) 338-0836 · Fax (605) 338-7890

Phone(605) 338-0836

Fax(605) 338-7890

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateJuly 18, 2006

Last NPPES UpdateAugust 24, 20233 updates tracked since enumeration

NPPES CertifiedAugust 24, 2023

✔ NPI 1003834995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians

Taxonomy Code207VX0000X

Licenses✔ Licensed in TX · T3072✔ Licensed in MO · 2018041689

Definition

A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 3478 (SD)

625 W 18TH ST, Sioux Falls, SD 57105

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Secondary Practice Location 1

Location 14801 Alberta AveEl Paso, TX 79905-2707 · Phone (915) 215-5000

Other Identifiers 1

Medicaid6200662SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elizabeth Dimitrievich Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860382272

PECOS Enrollment IDI20220519002480

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Medical Center Of El Paso

Acute Care Hospitals · El Paso, TX

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450024

Location4815 Alameda AveEl Paso, TX 79905 · El Paso County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.78 typical visit price

range $55.52 – $167.23

Typical copayment $31.69 (range $13.88 – $41.80)

Most-billed visit code 99204

Established Patient

$69.20 typical visit price

range $18.08 – $137.08

Typical copayment $17.30 (range $4.52 – $34.27)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CIERRA LYNN STUEVEN

Behavior Technician

625 W 18TH ST
SIOUX FALLS, SD 57105

Minnehaha County (435) 767-7929

JAMES RICHARDSON MD

Family Medicine

625 W 18TH ST, RICHARDSON FAMILY PRACTICE LLC
SIOUX FALLS, SD 57105

Minnehaha County (605) 275-8800

RICHARDSON FAMILY MEDICINE PROF LLC

Family Medicine

625 W 18TH ST
SIOUX FALLS, SD 57105

Minnehaha County (605) 275-8800

OBGYN SPECIALTY CLINIC PC

Obstetrics & Gynecology

625 W 18TH ST
SIOUX FALLS, SD 57105

Minnehaha County (605) 338-0836

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Dimitrievich's NPI number?

The NPI number for Elizabeth Dimitrievich is 1003834995. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Elizabeth Dimitrievich located?

Elizabeth Dimitrievich practices at 625 W 18th St Obgyn Specialty Clinic, Sioux Falls, SD 57105. The listed phone number is (605) 338-0836.

What is Elizabeth Dimitrievich's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Is Elizabeth Dimitrievich enrolled in Medicare?

Yes. Elizabeth Dimitrievich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Elizabeth Dimitrievich accept?

Health plans from Avera Health Plans, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Molina Healthcare and Oscar Insurance Company and 2 other insurers list Elizabeth Dimitrievich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Elizabeth Dimitrievich affiliated with any hospitals?

According to CMS data, Elizabeth Dimitrievich is affiliated with University Medical Center Of El Paso.

When was this NPI record last updated?

The NPPES record for Elizabeth Dimitrievich was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.