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

Q: 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.

Q: 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.

Q: 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.

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: October 25, 2026.

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

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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 Orange City Area Health System, 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

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Accepted Insurance

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

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.

Medicare Billing Reassignments

Medicare enrollment records show Emad Abu Sitta reassigns Medicare billing to 3 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

0.7 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

Sanford Medical Center Fargo

212 mi

Rural Health

211 E MILL ST
Pelican Rapids, MN 56572

Reassigned Medicare billing, Minnesota enrollment
376 clinicians in this Medicare group

NPI 1114953627 (218) 863-6100

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 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

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.

51 services27 patients

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

38 services29 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

24 services23 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.

19 services19 patients

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

15 services15 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

14 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Orange City Area Health System

Critical Access Hospitals · Orange City, IA

OwnershipVoluntary non-profit - Other

CMS Certification Number161360

Location1000 Lincoln Circle SEOrange City, IA 51041 · Sioux County

Emergency services

Windom Area Health

Critical Access Hospitals · Windom, MN

OwnershipGovernment - Local

CMS Certification Number241332

Location2150 Hospital Drive, PO Box 339Windom, MN 56101 · Cottonwood 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

Douglas County Memorial Hospital-Cah

Critical Access Hospitals · Armour, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431305

Location708 8th StArmour, SD 57313 · Douglas 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.

Which organizations bill Medicare for Emad Abu Sitta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emad Abu Sitta reassigns Medicare benefits to 3 organizations: Sanford Clinic (Sioux Falls, SD), Sanford Medical Center (Sioux Falls, SD) and Sanford Medical Center Fargo (Pelican Rapids, MN). Each 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 Emad Abu Sitta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emad Abu Sitta accept?

Health plans from Sanford Health Plan, Security Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. 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 Orange City Area Health System, Windom Area Health, Sanford Luverne Medical Center, Sanford Usd Medical Center and Douglas County Memorial Hospital-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.