AMJAD PANICKAVEETTIL MOHAMED BASHEER MBBS
NPI 1255994901
Internal Medicine - Cardiovascular Disease in Sioux Falls, SD

Q: What is Amjad Panickaveettil Mohamed Basheer's NPI number?

The NPI number for Amjad Panickaveettil Mohamed Basheer is 1255994901. It was assigned to this individual provider in the NPPES registry on April 18, 2019.

Q: What is Amjad Panickaveettil Mohamed Basheer's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since April 18, 2019PECOS 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: July 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 29, 2019, Apr 18, 2019 (2 updates tracked since 2019).

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About Amjad Panickaveettil Mohamed Basheer Mbbs NPPES

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

AMJAD PANICKAVEETTIL MOHAMED BASHEER MBBS (NPI 1255994901) is an individual cardiovascular disease provider in Sioux Falls, South Dakota, licensed in South Dakota (17325) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Spencer Municipal Hospital, and maintains a secondary practice location in Farmington.

NPPES Registry Identity

NPI1255994901

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameAMJAD PANICKAVEETTIL MOHAMED BASHEERCredential: MBBS

Location Address4520 W 69TH STSioux Falls, SD 57108-8148

Mailing AddressUconn Graduate Medical Education, 263 Farmington Avenue Lm068Farmington, CT 06030-1921 · (860) 879-4763 · Fax (860) 879-4624

Phone(605) 977-5000

Fax(605) 977-5377

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 18, 2019

Last NPPES UpdateJuly 24, 20252 updates tracked since enumeration

NPPES CertifiedJuly 24, 2025

✔ NPI 1255994901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in SD · 17325

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4520 W 69TH ST, Sioux Falls, SD 57108

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Secondary Practice Location 1

Location 1UConn Health - General Medicine Clinic, 263 Farmington Ave, OP 2 EastFarmington, CT 06030-8021 · Phone (860) 679-4477 · Fax (860) 679-1025

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Oscar Insurance Company.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

Amjad Panickaveettil Mohamed Basheer Mbbs 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 ID4385975408

PECOS Enrollment IDI20250805002458, I20250813001151, I20250815003031

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.

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

Sioux Center Health

Critical Access Hospitals · Sioux Center, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161346

Location1101 9th Street SESioux Center, IA 51250 · Sioux County

Emergency services

Avera Marshall Regional Medical Ctr

Critical Access Hospitals · Marshall, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number241359

Location300 South Bruce StreetMarshall, MN 56258 · Lyon County

Emergency services

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

$69.20 typical visit price

range $18.08 – $137.08

Typical copayment $17.30 (range $4.52 – $34.27)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

KELLY J STEFFEN DO

Internal Medicine (Cardiovascular Disease)