RICKY KOOIMA M.D.
NPI 1093750283
Pediatrics in Sioux Falls, SD

Active since June 19, 2006PECOS EnrolledAccepts Medicare Assignment
1200 S 7TH AVE, SIOUX FALLS, SD 57105(605) 336-2140(605) 336-1677 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 18, 2022, Jun 15, 2017 (2 updates tracked since 2017).

About Ricky Kooima M.d. NPPES

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

RICKY KOOIMA M.D. (NPI 1093750283) is an individual pediatrics provider in Sioux Falls, South Dakota, licensed in South Dakota (4499) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1990).

NPPES Registry Identity

NPI1093750283
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameRICKY KOOIMACredential: M.D.
Location Address1200 S 7TH AVESioux Falls, SD 57105-0900
Mailing Address1200 S 7th AveSioux Falls, SD 57105-0900 · (605) 504-5400 · Fax (605) 504-5150
Fax(605) 336-1677
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1990
Enumeration DateJune 19, 2006
Last NPPES UpdateApril 18, 20222 updates tracked since enumeration
NPPES CertifiedApril 18, 2022
NPI 1093750283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in SD · 4499
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1200 S 7TH AVE, Sioux Falls, SD 57105

Other Identifiers 1

Medicaid6700252SD

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

Ricky Kooima M.d. 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 ID5698662567
PECOS Enrollment IDI20051219000376
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

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
30 services19 patients

Hospital Affiliations CMS Care Compare

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

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha 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
$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.

Other Providers at the Same Location NPPES 20

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

Pediatrics
1200 S 7TH AVE, STE 2
SIOUX FALLS, SD 57105
Nurse Practitioner (Family)
1200 S 7TH AVE
SIOUX FALLS, SD 57105
Pediatrics
1200 S 7TH AVE
SIOUX FALLS, SD 57105
Clinic/Center (Multi-Specialty)
1200 S 7TH AVE, SUITE 2
SIOUX FALLS, SD 57105
Family Medicine
1200 S 7TH AVE, SUITE 2
SIOUX FALLS, SD 57105
Family Medicine
1200 S 7TH AVE, STE2
SIOUX FALLS, SD 57105
Nurse Practitioner (Family)
1200 S 7TH AVE
SIOUX FALLS, SD 57105
Nurse Practitioner (Family)
1200 S 7TH AVE
SIOUX FALLS, SD 57105

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 Ricky Kooima's NPI number?

The NPI number for Ricky Kooima is 1093750283. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Where is Ricky Kooima located?

Ricky Kooima practices at 1200 S 7th Ave, Sioux Falls, SD 57105. The listed phone number is (605) 336-2140.

What is Ricky Kooima's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Ricky Kooima enrolled in Medicare?

Yes. Ricky Kooima 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 Ricky Kooima accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 1 other insurer list Ricky Kooima 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 Ricky Kooima affiliated with any hospitals?

According to CMS data, Ricky Kooima is affiliated with Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Ricky Kooima was last updated on April 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.