1. Home
  2. Directory
  3. South Dakota
  4. Sioux Falls
  5. Internal Medicine
  6. NPI Profile

EMAD M A ABU SITTA M.D
NPI 1194165977
Internal Medicine - Infectious Disease in Sioux Falls, SD

Active since June 26, 2013PECOS EnrolledAccepts Medicare Assignment
1205 S GRANGE AVE STE 401, SIOUX FALLS, SD 57105(605) 328-8120 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2023, Apr 4, 2022, Aug 10, 2020 and 2 more (5 updates tracked since 2016).

About Emad M A Abu Sitta M.d NPPES

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

EMAD M A ABU SITTA M.D (NPI 1194165977) is an individual infectious disease provider in Sioux Falls, South Dakota, licensed in South Dakota (11802) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Sanford Jackson Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1194165977
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameEMAD M A ABU SITTACredential: M.D
Location Address1205 S GRANGE AVE STE 401Sioux Falls, SD 57105-0410
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Phone(605) 328-8120
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJune 26, 2013
Last NPPES UpdateJune 6, 20235 updates tracked since enumeration
NPPES CertifiedJune 6, 2023
✔ NPI 1194165977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in SD · 11802
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License 5315074350 (MI), 35132976 (OH), 4301103010 (MI)
1205 S GRANGE AVE STE 401, Sioux Falls, SD 57105
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan, Security Health Plan.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

Emad M A Abu Sitta 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 ID840413654
PECOS Enrollment IDI20200814001393
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 12

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.
562 services174 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.
96 services93 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.
91 services88 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
81 services59 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
73 services64 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.
59 services48 patients

Hospital Affiliations CMS Care Compare 5

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

Sanford Jackson Medical Center

Critical Access Hospitals · Jackson, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241315
Location1430 North HighwayJackson, MN 56143 · Jackson 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

Madison Regional Health System

Critical Access Hospitals · Madison, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431300
Location323 SW 10th StMadison, SD 57042 · Lake County
Emergency services

Winner Regional Healthcare Center - Cah

Critical Access Hospitals · Winner, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431334
Location745 East 8th StreetWinner, SD 57580 · Tripp 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.

Other Providers at the Same Location NPPES 3

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

BERTHA S. AYI M.D. FACP
Internal Medicine (Infectious Disease)
1205 S GRANGE AVE STE 401
SIOUX FALLS, SD 57105
Minnehaha County (712) 226-4437
ANNALISA KRISTINE CUNNINGHAM FNP
Nurse Practitioner (Family)
1205 S GRANGE AVE STE 401
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-8350
MR. MICHAEL DAVID WHISLER PA-C
Physician Assistant
1205 S GRANGE AVE STE 401
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8120

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 Emad Abu Sitta's NPI number?

The NPI number for Emad Abu Sitta is 1194165977. It was assigned to this individual provider in the NPPES registry on June 26, 2013.

Where is Emad Abu Sitta located?

Emad Abu Sitta practices at 1205 S Grange Ave Ste 401, Sioux Falls, SD 57105. The listed phone number is (605) 328-8120.

What is Emad Abu Sitta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Emad Abu Sitta enrolled in Medicare?

Yes. Emad Abu Sitta 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 Emad Abu Sitta accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Emad Abu Sitta 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 Emad Abu Sitta affiliated with any hospitals?

According to CMS data, Emad Abu Sitta is affiliated with Sanford Jackson Medical Center, Sanford Luverne Medical Center, Sanford Usd Medical Center, Madison Regional Health System and Winner Regional Healthcare Center - Cah.

When was this NPI record last updated?

The NPPES record for Emad Abu Sitta was last updated on June 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.