DR. RIYAD MOHAMA MD
NPI 1194778738
Internal Medicine - Clinical Cardiac Electrophysiology in Sioux Falls, SD

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
4520 W 69TH ST, SIOUX FALLS, SD 57108(605) 977-5000(605) 977-5377 Get Directions Write a Review

NPPES record last updated: June 10, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Riyad Mohama Md NPPES

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

DR. RIYAD MOHAMA MD (NPI 1194778738) is an individual clinical cardiac electrophysiology provider in Sioux Falls, South Dakota, licensed in South Dakota (3476) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Spencer Municipal Hospital, and is a graduate of Other (1977).

NPPES Registry Identity

NPI1194778738
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameDR. RIYAD MOHAMACredential: MD
Location Address4520 W 69TH STSioux Falls, SD 57108-8148
Mailing AddressPo Box 5009Sioux Falls, SD 57117-5009 · (605) 977-5000 · Fax (605) 977-5377
Fax(605) 977-5377
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateMay 17, 2006
Last NPPES UpdateJune 10, 2008
✔ NPI 1194778738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
License✔ Licensed in SD · 3476
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 3476 (SD)
4520 W 69TH ST, Sioux Falls, SD 57108

Other Identifiers 16

Medicare UPINF09152SD
Medicaid431200700MN
Medicare PIN060000747MN
Other0003382SD · Sd Bcbs
Other3476SD · Dakotacare
Other24684Health Partners
Other53992IA · Ia Bcbs
Medicaid6002492SD
Medicare PIN53983IA
Medicare PINS3382SD
Other165028Ucare
Medicare PINI0603IA
Other931451029039Preferred One
Medicare PIN060023143GA
Other4R614MOMN · Mn Bcbs - Plan 91057no
Medicaid1981787IA

Accepted 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

Dr. Riyad Mohama 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 ID4284673104
PECOS Enrollment IDI20050429000758, I20131231000383
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

6

Medicare enrollment records show Riyad Mohama reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
4520 W 69TH ST
Sioux Falls, SD 57108
  • Reassigned Medicare billing, Iowa, Minnesota and South Dakota enrollments
  • Also billed through NPI 1023003969 (South Dakota)
  • 34 clinicians in this Medicare group
Emergency Medicine
4500 W 69TH ST
Sioux Falls, SD 57108
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,277 clinicians in this Medicare group
Clinic/Center
231 N 8TH AVE W
Hartley, IA 51346
  • Reassigned Medicare billing, Iowa enrollment
  • 176 clinicians in this Medicare group
Critical Access
513 3RD ST SW
Wagner, SD 57380
  • Reassigned Medicare billing, South Dakota enrollment
  • 44 clinicians in this Medicare group
Clinic/Center
926 N 8TH ST
Estherville, IA 51334
  • Reassigned Medicare billing, South Dakota enrollment
  • 19 clinicians in this Medicare group
Critical Access
235 8TH AVE W
Cresco, IA 52136
  • Reassigned Medicare billing, Iowa enrollment
  • 56 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.

Areas of Expertise CMS Part B claims 41

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.

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
1,104 services402 patients
Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 93295
This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.
345 services138 patients
Programming of dual lead pacemaker system 93280
Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
253 services231 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
229 services188 patients
Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248
This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.
166 services161 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
160 services160 patients

Hospital Affiliations CMS Care Compare 5

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

Spencer Municipal Hospital

Acute Care Hospitals · Spencer, IA
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160112
Location1200 1st Avenue EastSpencer, IA 51301 · Clay County
Emergency services Birthing friendly

Lakes Regional Healthcare

Acute Care Hospitals · Spirit Lake, IA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160124
Location2301 Highway 71Spirit Lake, IA 51360 · Dickinson County
Emergency services Birthing friendly

Avera St Mary's Hospital

Acute Care Hospitals · Pierre, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430015
Location801 E SiouxPierre, SD 57501 · Hughes County
Emergency services Birthing friendly

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

Avera Heart Hospital Of South Dakota

Acute Care Hospitals · Sioux Falls, SD
5/5 CMS rating
OwnershipProprietary
CMS Certification Number430095
Location4500 W 69th StSioux Falls, SD 57108 · Lincoln County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57108 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 20

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

Internal Medicine (Cardiovascular Disease)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Internal Medicine (Cardiovascular Disease)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Physician Assistant
4520 W 69TH ST
SIOUX FALLS, SD 57108
Nurse Practitioner (Family)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Nurse Practitioner (Family)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Internal Medicine (Cardiovascular Disease)
4520 W 69TH ST
SIOUX FALLS, SD 57108

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 Riyad Mohama's NPI number?

The NPI number for Riyad Mohama is 1194778738. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Riyad Mohama located?

Riyad Mohama practices at 4520 W 69th St, Sioux Falls, SD 57108. The listed phone number is (605) 977-5000.

What is Riyad Mohama's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Riyad Mohama enrolled in Medicare?

Yes. Riyad Mohama 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 Riyad Mohama's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Riyad Mohama reassigns Medicare benefits to 6 organizations: Heart Hospital Of South Dakota LLC (Sioux Falls, SD), Avera Mckennan (Sioux Falls, SD), Spencer Municipal Hospital (Hartley, IA), Wagner Community Memorial Hospital (Wagner, SD), Avera Holy Family (Estherville, IA) and 1 more organization, listed in the Medicare section above. 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 Riyad Mohama's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Riyad Mohama accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Avera Health Plans and Oscar Insurance Company and 3 other insurers list Riyad Mohama 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 Riyad Mohama affiliated with any hospitals?

According to CMS data, Riyad Mohama is affiliated with Spencer Municipal Hospital, Lakes Regional Healthcare, Avera St Mary's Hospital, Avera Mckennan Hospital & University Health Center and Avera Heart Hospital Of South Dakota.

When was this NPI record last updated?

The NPPES record for Riyad Mohama was last updated on June 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.