DR. MONALEZE SAINI MD
NPI 1053793307
Family Medicine in Custer, SD

Active since June 23, 2015PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1220 MONTGOMERY ST, CUSTER, SD 57730(605) 673-2229(605) 673-3917 Get Directions Write a Review

NPPES record last updated: August 6, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Monaleze Saini Md NPPES

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

DR. MONALEZE SAINI MD (NPI 1053793307) is an individual family medicine provider in Custer, South Dakota, licensed in South Dakota (11030) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Monument Health Rapid City Hospital, and is a graduate of Wayne State University School Of Medicine (2015).

NPPES Registry Identity

NPI1053793307
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MONALEZE SAINICredential: MD
Location Address1220 MONTGOMERY STCuster, SD 57730-1705
Mailing Address502 E Monroe StRapid City, SD 57701-1400 · (605) 755-4060 · Fax (605) 755-4012
Fax(605) 673-3917
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2015
Enumeration DateJune 23, 2015
Last NPPES UpdateAugust 6, 2018
NPI 1053793307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in SD · 11030
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1220 MONTGOMERY ST, Custer, SD 57730

Accepted 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

Dr. Monaleze Saini 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 ID42509127
PECOS Enrollment IDI20180816001403
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.

Areas of Expertise CMS Part B claims 3

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.
44 services20 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
15 services13 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430077
Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County
Emergency services Birthing friendly

Monument Health Custer Hospital

Critical Access Hospitals · Custer, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431323
Location1220 Montgomery StreetCuster, SD 57730 · Custer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57730 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier11 claims2,200 services$5.19 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier27 claims27 services$5.23 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier14 claims14 services$185.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

Medicare Defined Swing Bed Unit
1220 MONTGOMERY ST
CUSTER, SD 57730
Family Medicine
1220 MONTGOMERY ST
CUSTER, SD 57730
Family Medicine
1220 MONTGOMERY ST
CUSTER, SD 57730
Clinical Medical Laboratory
1220 MONTGOMERY ST
CUSTER, SD 57730
Health Educator
1220 MONTGOMERY ST
CUSTER, SD 57730
Family Medicine
1220 MONTGOMERY ST
CUSTER, SD 57730
Clinic/Center (Medical Specialty)
1220 MONTGOMERY ST
CUSTER, SD 57730
Physical Therapist
1220 MONTGOMERY ST
CUSTER, SD 57730

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 Monaleze Saini's NPI number?

The NPI number for Monaleze Saini is 1053793307. It was assigned to this individual provider in the NPPES registry on June 23, 2015.

Where is Monaleze Saini located?

Monaleze Saini practices at 1220 Montgomery St, Custer, SD 57730. The listed phone number is (605) 673-2229.

What is Monaleze Saini's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Monaleze Saini enrolled in Medicare?

Yes. Monaleze Saini 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 Monaleze Saini accept?

Health plans from Avera Health Plans, Medica, Oscar Insurance Company and Sanford Health Plan list Monaleze Saini 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 Monaleze Saini affiliated with any hospitals?

According to CMS data, Monaleze Saini is affiliated with Monument Health Rapid City Hospital and Monument Health Custer Hospital.

When was this NPI record last updated?

The NPPES record for Monaleze Saini was last updated on August 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.