DANIELLE THEIS MD
NPI 1184329435
Family Medicine in Rapid City, SD

Active since April 04, 2023PECOS Enrolled
5410 SHERIDAN LAKE RD, RAPID CITY, SD 57702(605) 348-4141 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 6, 2026, Apr 4, 2023 (2 updates tracked since 2023).

About Danielle Theis Md NPPES

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

DANIELLE THEIS MD (NPI 1184329435) is an individual family medicine provider in Rapid City, South Dakota, licensed in South Dakota (18692) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with Upmc Altoona, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1184329435
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDANIELLE THEISCredential: MD
Location Address5410 SHERIDAN LAKE RDRapid City, SD 57702-9208
Mailing Address5410 Sheridan Lake RdRapid City, SD 57702-9208 · (605) 348-4141
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 4, 2023
Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1184329435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SD · 18692
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.
5410 SHERIDAN LAKE RD, Rapid City, SD 57702

Other Names 1

Former Name (1)Danielle Olympia Combs

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Danielle Theis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42677593
PECOS Enrollment IDI20260819004905
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 Reassignment

Medicare enrollment records show Danielle Theis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Obesity Medicine
5410 SHERIDAN LAKE RD
Rapid City, SD 57702
  • Reassigned Medicare billing, South Dakota enrollment
  • 7 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57702 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 13

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

Emergency Medicine
5410 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Family Medicine
5410 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Internal Medicine
5410 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Dermatology
5410 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Internal Medicine (Obesity Medicine)
5410 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Family Medicine
5410 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Nurse Practitioner (Family)
5410 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Nurse Practitioner (Acute Care)
5410 SHERIDAN LAKE RD
RAPID CITY, SD 57702

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 Danielle Theis's NPI number?

The NPI number for Danielle Theis is 1184329435. It was assigned to this individual provider in the NPPES registry on April 4, 2023. The provider is also known as Danielle Olympia Combs.

Where is Danielle Theis located?

Danielle Theis practices at 5410 Sheridan Lake Rd, Rapid City, SD 57702. The listed phone number is (605) 348-4141.

What is Danielle Theis's specialty?

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

Is Danielle Theis enrolled in Medicare?

Yes. Danielle Theis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Danielle Theis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Danielle Theis reassigns Medicare benefits to Health Concepts Wellness Care LLC (Rapid City, SD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Danielle Theis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Danielle Theis accept?

Health plans from Oscar Insurance Company, Sanford Health Plan and Wellmark of South Dakota, Inc. list Danielle Theis 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 Danielle Theis affiliated with any hospitals?

According to CMS data, Danielle Theis is affiliated with Upmc Altoona.

When was this NPI record last updated?

The NPPES record for Danielle Theis was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.