NALINI JAGRAM-PAYER M.D.
NPI 1346440849
Family Medicine in Sioux Falls, SD

Active since July 23, 2007PECOS EnrolledAccepts Medicare Assignment
1115 E 20TH ST, SIOUX FALLS, SD 57105(605) 339-1783(605) 367-7157 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nalini Jagram-payer M.d. NPPES

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

NALINI JAGRAM-PAYER M.D. (NPI 1346440849) is an individual family medicine provider in Sioux Falls, South Dakota, licensed in Iowa (MD-38078) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Lakes Regional Healthcare, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1346440849
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNALINI JAGRAM-PAYERCredential: M.D.
Location Address1115 E 20TH STSioux Falls, SD 57105-1013
Mailing Address1115 E 20th StSioux Falls, SD 57105-1013 · (605) 339-1783 · Fax (605) 367-7157
Fax(605) 367-7157
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 23, 2007
Last NPPES UpdateNovember 4, 2020
NPPES CertifiedNovember 4, 2020
✔ NPI 1346440849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IA · MD-38078
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.
1115 E 20TH ST, Sioux Falls, SD 57105

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

Nalini Jagram-payer 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 ID3678635919
PECOS Enrollment IDI20081222000277
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 Nalini Jagram-payer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
2700 23RD ST STE C
Spirit Lake, IA 51360
  • Reassigned Medicare billing, Iowa enrollment
  • 65 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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
305 services270 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.
278 services226 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
249 services226 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
33 services29 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

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

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
$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 20

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

Family Medicine
1115 E 20TH ST
SIOUX FALLS, SD 57105
Student in an Organized Health Care Education/Training Program
1115 E 20TH ST
SIOUX FALLS, SD 57105
Student in an Organized Health Care Education/Training Program
1115 E 20TH ST
SIOUX FALLS, SD 57105
Family Medicine
1115 E 20TH ST
SIOUX FALLS, SD 57105
Family Medicine
1115 E 20TH ST
SIOUX FALLS, SD 57105
Student in an Organized Health Care Education/Training Program
1115 E 20TH ST
SIOUX FALLS, SD 57105
Family Medicine
1115 E 20TH ST
SIOUX FALLS, SD 57105
Student in an Organized Health Care Education/Training Program
1115 E 20TH ST
SIOUX FALLS, SD 57105

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 Nalini Jagram-payer's NPI number?

The NPI number for Nalini Jagram-payer is 1346440849. It was assigned to this individual provider in the NPPES registry on July 23, 2007.

Where is Nalini Jagram-payer located?

Nalini Jagram-payer practices at 1115 E 20th St, Sioux Falls, SD 57105. The listed phone number is (605) 339-1783.

What is Nalini Jagram-payer's specialty?

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

Is Nalini Jagram-payer enrolled in Medicare?

Yes. Nalini Jagram-payer 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 organization bills Medicare for Nalini Jagram-payer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nalini Jagram-payer reassigns Medicare benefits to Lakes Regional Healthcare (Spirit Lake, IA). 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 Nalini Jagram-payer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nalini Jagram-payer accept?

Health plans from Avera Health Plans, Sanford Health Plan and Wellmark Health Plan of Iowa, Inc. list Nalini Jagram-payer 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 Nalini Jagram-payer affiliated with any hospitals?

According to CMS data, Nalini Jagram-payer is affiliated with Lakes Regional Healthcare.

When was this NPI record last updated?

The NPPES record for Nalini Jagram-payer was last updated on November 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.