DAKOTA VASCULAR PROF LLC
NPI 1407591258
Surgery - Vascular Surgery in Sioux Falls, SD

Active since May 04, 2022CLIA 43D2265170 · Waiver
3801 S ELMWOOD AVE, SIOUX FALLS, SD 57105(605) 306-6100(605) 306-6500 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 19, 2025, May 12, 2025, Aug 7, 2022 and 2 more (5 updates tracked since 2022).

About Dakota Vascular Prof Llc NPPES

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

DAKOTA VASCULAR PROF LLC (NPI 1407591258), doing business as Dakota Vascular, is a healthcare organization registered as a vascular surgery in Sioux Falls, South Dakota and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through July 24, 2028, maintains 27 additional practice locations, and lists Amanda Jane Saeger, Chief Of Operations, as its authorized official.

NPPES Registry Identity

NPI1407591258
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameDAKOTA VASCULAR PROF LLC
Location Address3801 S ELMWOOD AVESioux Falls, SD 57105-6565
Mailing Address3801 S Elmwood AveSioux Falls, SD 57105-6565 · (605) 306-6100 · Fax (605) 306-6500
Fax(605) 306-6500
Organization SubpartNo
Authorized OfficialAmanda Jane SaegerChief Of Operations · (605) 306-6140
Enumeration DateMay 4, 2022
Last NPPES UpdateJune 19, 20255 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
✔ NPI 1407591258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
3801 S ELMWOOD AVE, Sioux Falls, SD 57105

Other Names 1

Doing Business AsDakota Vascular

Secondary Practice Locations 27

Location 11206 S Main St # 1Aberdeen, SD 57401-7071 · Phone (605) 306-6100 · Fax (605) 306-6500
Location 2111 4th St SEHuron, SD 57350-2509 · Phone (605) 306-6100 · Fax (605) 306-6500
Location 32504 W 46th StSioux Falls, SD 57105-6585 · Phone (605) 306-6100 · Fax (605) 306-6500
Location 4745 E 8th StWinner, SD 57580-2677 · Phone (605) 306-6100 · Fax (605) 306-6500
Location 5104 W Commerce StPlankinton, SD 57368-2083 · Phone (605) 306-6100 · Fax (605) 306-6500
Location 6525 N Foster StMitchell, SD 57301-2966 · Phone (605) 306-6100 · Fax (605) 306-6500
Location 7818 W Havens AveMitchell, SD 57301-3830 · Phone (605) 306-6100 · Fax (605) 306-6500
Location 8110 S Logan AveGregory, SD 57533-1614 · Phone (605) 306-6100 · Fax (605) 306-6500
Location 9401 W Glynn DrParkston, SD 57366-9605 · Phone (605) 306-6100 · Fax (605) 306-6500
Location 10401 9th Ave NWWatertown, SD 57201-1548 · Phone (605) 306-6100 · Fax (605) 306-6500
Location 112420 9th Ave SEWatertown, SD 57201-7117 · Phone (605) 306-6100 · Fax (605) 306-6500
Location 122042 Juniper AveSlayton, MN 56172-1017 · Phone (605) 306-6100 · Fax (605) 306-6500
Location 132001 Broadway AveYankton, SD 57078-2032 · Phone (605) 306-6100 · Fax (605) 306-6500
Location 14323 SW 10th StMadison, SD 57042-3200 · Phone (605) 306-6100 · Fax (605) 306-6500
Location 152150 Hospital DrWindom, MN 56101-1287 · Phone (605) 306-6100 · Fax (605) 306-6500
Location 16300 22nd AveBrookings, SD 57006-2480 · Phone (605) 306-6100 · Fax (605) 306-6500
Location 17300 S Bruce StMarshall, MN 56258-1934 · Phone (605) 306-6100 · Fax (605) 306-6500
Location 181325 S Cliff AveSioux Falls, SD 57105-1007 · Phone (605) 306-6100 · Fax (605) 306-6500
Location 194500 W 69th StSioux Falls, SD 57108-8148 · Phone (605) 306-6100 · Fax (605) 306-6500
Location 201000 E 23rd StSioux Falls, SD 57105-2108 · Phone (605) 306-6100 · Fax (605) 306-6500
Location 21910 E 20th StSioux Falls, SD 57105-1012 · Phone (605) 306-6100 · Fax (605) 306-6500
Location 222301 Highway 71Spirit Lake, IA 51360-1253 · Phone (605) 306-6100 · Fax (605) 306-6500
Location 231000 Lincoln Cir SEOrange City, IA 51041-1836 · Phone (605) 306-6100 · Fax (605) 306-6500
Location 24301 Flynn DrMilbank, SD 57252-1508 · Phone (605) 306-6100 · Fax (605) 306-6500
Location 25350 Gold CirDakota Dunes, SD 57049-5509 · Phone (605) 306-6100 · Fax (605) 306-6500
Location 261409 6th Ave SE Ste 1Aberdeen, SD 57401-4950 · Phone (605) 306-6100 · Fax (605) 306-6500
Location 272720 Stone Park BlvdSioux City, IA 51104-3734 · Phone (605) 306-6100 · Fax (605) 306-6500

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dakota Vascular Prof Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Dakota Vascular Prof LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Vascular Surgery
NPI 1134189160
3801 S ELMWOOD AVE
Sioux Falls, SD 57105
(605) 306-6140
✔ PECOSSame address
Nurse Practitioner
NPI 1700678877
3801 S ELMWOOD AVE
Sioux Falls, SD 57105
(605) 306-6100
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1174813729
3801 S ELMWOOD AVE
Sioux Falls, SD 57105
(605) 306-6140
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1861628059
3801 S ELMWOOD AVE
Sioux Falls, SD 57105
(605) 306-6100
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1689155335
3801 S ELMWOOD AVE
Sioux Falls, SD 57105
(605) 306-6140
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1760615074
3801 S ELMWOOD AVE
Sioux Falls, SD 57105
(605) 306-6100
✔ PECOS✔ Accepts MedicareSame address

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 Waiver 43D2265170

Dakota Vascular Prof LLC Dba Dakota Vascular · Sioux Falls, SD
Active · expires Jul 24, 2028
CLIA Number43D2265170
Laboratory TypePhysician Office
Certificate Effective DateJuly 25, 2026
Certificate Expiration DateJuly 24, 2028
Laboratory DirectorAngelo Santos
Laboratory Phone(605) 306-6100
Laboratory LocationDakota Vascular Prof LLC Dba Dakota Vascular3801 South Elmwood Ave, Sioux Falls, SD 57105
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Dakota Vascular Prof LLC's NPI number?

The NPI number for Dakota Vascular Prof LLC is 1407591258. It was assigned to this organization in the NPPES registry on May 4, 2022. The provider is doing business as Dakota Vascular.

Where is Dakota Vascular Prof LLC located?

Dakota Vascular Prof LLC is located at 3801 S Elmwood Ave, Sioux Falls, SD 57105. The listed phone number is (605) 306-6100.

What is Dakota Vascular Prof LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Dakota Vascular Prof LLC enrolled in Medicare?

Yes. Dakota Vascular Prof LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dakota Vascular Prof LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Dakota Vascular Prof LLC. 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 Nurse Practitioner (3) and Vascular Surgery (3). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dakota Vascular Prof LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 43D2265170) is associated with this NPI, valid through July 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dakota Vascular Prof LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan and Sanford Health Plan list Dakota Vascular Prof LLC 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 Dakota Vascular Prof LLC was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.