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SIOUXLAND UROLOGY ASSOCIATES PC
NPI 1366462814
Urology in Dakota Dunes, SD

Active since July 20, 2006CLIA 16D0385321 · Certificate of Compliance
455 N SIOUX POINT RD, DAKOTA DUNES, SD 57049(605) 217-7000(605) 217-7015 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Siouxland Urology Associates Pc NPPES

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

SIOUXLAND UROLOGY ASSOCIATES PC (NPI 1366462814) is a healthcare organization registered as an urology in Dakota Dunes, South Dakota and active in the NPI registry since July 2006. The organization holds a CLIA Certificate of Compliance certificate valid through June 29, 2028 and lists Greg Haar, Administrator, as its authorized official.

NPPES Registry Identity

NPI1366462814
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameSIOUXLAND UROLOGY ASSOCIATES PC
Location Address455 N SIOUX POINT RDDakota Dunes, SD 57049-5327
Mailing Address455 N Sioux Point RdDakota Dunes, SD 57049-5327 · (605) 217-7000 · Fax (605) 217-7015
Phone(605) 217-7000
Fax(605) 217-7015
Organization SubpartNo
Authorized OfficialGreg HaarAdministrator · (605) 217-7000
Enumeration DateJuly 20, 2006
Last NPPES UpdateApril 8, 2022
NPPES CertifiedApril 8, 2022
✔ NPI 1366462814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in SD · 3861
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
455 N SIOUX POINT RD, Dakota Dunes, SD 57049
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Siouxland Urology Associates Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateSouth DakotaEnrollment IDO20100930041602DME · Physician - UrologyDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Siouxland Urology Associates PC, which bills Medicare for the services they deliver. Of these, 8 practice at this address. They are listed nearest first.

Clinicians, nearest first (9)

Timothy Kneib, M.D.
Urology
NPI 1518932367
455 N SIOUX POINT RD
Dakota Dunes, SD 57049
(605) 217-7000
✔ PECOS✔ Accepts MedicareSame address
Michael Oberle, DO
Urology
NPI 1790248953
455 N SIOUX POINT RD
North Sioux City, SD 57049
(605) 217-7000
✔ PECOS✔ Accepts MedicareSame address
Daniel Olsen, D.O.
Urology
NPI 1366973950
455 N SIOUX POINT RD
Dakota Dunes, SD 57049
(605) 217-7000
✔ PECOS✔ Accepts MedicareSame address
Jamie Olsen, D.O.
Urology
NPI 1518300573
455 N SIOUX POINT RD
Dakota Dunes, SD 57049
(605) 217-7000
✔ PECOS✔ Accepts MedicareSame address
Adam Althaus, M.D.
Urology
NPI 1952660011
455 N SIOUX POINT RD
Dakota Dunes, SD 57049
(605) 217-7000
✔ PECOS✔ Accepts MedicareSame address
Andrew Bourne, M.D.
Urology
NPI 1346462702
455 N SIOUX POINT RD
Dakota Dunes, SD 57049
(605) 217-7000
✔ PECOS✔ Accepts MedicareSame address
David Daniels, M.D.
Urology
NPI 1538394952
455 N SIOUX POINT RD
Dakota Dunes, SD 57049
(605) 217-7000
✔ PECOS✔ Accepts MedicareSame address
Chad Millikan
Nurse Practitioner
NPI 1407375736
455 N SIOUX POINT RD
Dakota Dunes, SD 57049
(605) 217-7000
✔ PECOS✔ Accepts MedicareSame address
Craig Block, M.D.
Urology
NPI 1154530137
200 HAWKINS DR
Iowa City, IA 52242
(319) 356-1616
✔ PECOS✔ Accepts Medicare261 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 16D0385321

Siouxland Urology Associates · Dakota Dunes, SD
Active · expires Jun 29, 2028
CLIA Number16D0385321
Laboratory TypePhysician Office
Certificate Effective DateJune 30, 2026
Certificate Expiration DateJune 29, 2028
Laboratory DirectorStephanie Schutte
Laboratory Phone(605) 217-7000
Laboratory LocationSiouxland Urology Associates455 Sioux Point Road, Dakota Dunes, SD 57049
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Siouxland Urology Associates PC's NPI number?

The NPI number for Siouxland Urology Associates PC is 1366462814. It was assigned to this organization in the NPPES registry on July 20, 2006.

Where is Siouxland Urology Associates PC located?

Siouxland Urology Associates PC is located at 455 N Sioux Point Rd, Dakota Dunes, SD 57049. The listed phone number is (605) 217-7000.

What is Siouxland Urology Associates PC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Siouxland Urology Associates PC enrolled in Medicare?

Yes. Siouxland Urology Associates PC is registered in the Medicare PECOS enrollment system.

When is Siouxland Urology Associates PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (South Dakota, Physician - Urology) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Siouxland Urology Associates PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Siouxland Urology Associates PC. A 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 the clinician's services. The largest specialties are Urology (8) and Nurse Practitioner (1). Of these, 8 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Siouxland Urology Associates PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 16D0385321) is associated with this NPI, valid through June 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Siouxland Urology Associates PC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 30 other insurers list Siouxland Urology Associates PC 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.

When was this NPI record last updated?

The NPPES record for Siouxland Urology Associates PC was last updated on April 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.