ISMAIL OMRAN
NPI 1023539590
Internal Medicine - Nephrology in Sioux Falls, SD

Q: What is Ismail Omran's NPI number?

The NPI number for Ismail Omran is 1023539590. It was assigned to this individual provider in the NPPES registry on July 5, 2017.

Q: What is Ismail Omran's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Ismail Omran was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since July 05, 2017PECOS EnrolledAccepts Medicare Assignment

76.69/100

CMS Quality Rating

1205 S GRANGE AVE STE 201, SIOUX FALLS, SD 57105(605) 238-8100 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 12, 2025, Oct 25, 2022, Jun 16, 2018 and 1 more (4 updates tracked since 2017).

On this page

About Ismail Omran NPPES

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

ISMAIL OMRAN (NPI 1023539590) is an individual nephrology provider in Sioux Falls, South Dakota, licensed in New York (00000000000000) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Sanford Canby Medical Center, and maintains a secondary practice location in Elmhurst.

NPPES Registry Identity

NPI1023539590

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameISMAIL OMRAN

Location Address1205 S GRANGE AVE STE 201Sioux Falls, SD 57105-0414

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074

Phone(605) 238-8100

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateJuly 5, 2017

Last NPPES UpdateSeptember 12, 20254 updates tracked since enumeration

NPPES CertifiedOctober 25, 2022

✔ NPI 1023539590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in NY · 00000000000000

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1205 S GRANGE AVE STE 201, Sioux Falls, SD 57105

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Secondary Practice Location 1

Location 17901 Broadway # C7-10Elmhurst, NY 11373-1329 · Phone (718) 334-3930 · Fax (718) 334-5160

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Sanford Health Plan, Security Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ismail Omran 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 ID2769720713

PECOS Enrollment IDI20221121002408

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.

Medicare Billing Reassignments

Medicare enrollment records show Ismail Omran reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sanford Clinic

Same address

Nephrology

1205 S. GRANGE AVE, STE 201
Sioux Falls, SD 57105

Reassigned Medicare billing, South Dakota enrollment
826 clinicians in this Medicare group

NPI 1295848521 (605) 328-8100

Sanford Medical Center

0.2 mi

Family Medicine

1420 W 22NDST STE 104
Sioux Falls, SD 57105

Reassigned Medicare billing, South Dakota enrollment
1,097 clinicians in this Medicare group

NPI 1093090342 (605) 328-4897

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

557 services182 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

215 services141 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

169 services102 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

127 services56 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

120 services43 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

98 services98 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

82 services55 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

78 services75 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

76 services32 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

72 services63 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

41 services26 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

27 services21 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

20 services20 patients

Hospital Affiliations CMS Care Compare 5

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

Sanford Canby Medical Center

Critical Access Hospitals · Canby, MN

OwnershipGovernment - Hospital District or Authority

CMS Certification Number241347

Location112 St Olaf Avenue SouthCanby, MN 56220 · Yellow Medcine County

Emergency services

Sanford Luverne Medical Center

Critical Access Hospitals · Luverne, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241371

Location1600 N Kniss AvenueLuverne, MN 56156 · Rock County

Emergency services

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430027

Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County

Emergency services Birthing friendly

Avera Weskota Memorial Medical Center - Cah

Critical Access Hospitals · Wessington Springs, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431324

Location604 1st St NEWessington Springs, SD 57382 · Jerauld County

Emergency services

Huron Regional Medical Center

Critical Access Hospitals · Huron, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431335

Location172 Fourth Street SEHuron, SD 57350 · Beadle County

Emergency services

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

$97.88 typical visit price

range $18.08 – $137.08

Typical copayment $24.47 (range $4.52 – $34.27)

Most-billed visit code 99214

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.69/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.56

Promoting Interoperability

Improvement Activities

Cost

44.56

Other Providers at the Same Location NPPES 6

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

JAROSLAW MATEUSZCZYK M.D.

Internal Medicine (Critical Care Medicine)