JOSEPH J FANCIULLO MD
NPI 1437182516
Internal Medicine - Rheumatology in Sioux Falls, SD
About Joseph J Fanciullo Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOSEPH J FANCIULLO MD (NPI 1437182516) is an individual rheumatology provider in Sioux Falls, South Dakota, licensed in South Dakota (4251) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Avera Holy Family Hospital, and maintains a secondary practice location in Sioux Falls.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 4
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
Joseph J Fanciullo 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.
Medicare Billing Reassignment
Medicare enrollment records show Joseph Fanciullo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sioux Falls, SD 57108
- Reassigned Medicare billing, South Dakota enrollment
- 1,277 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 3
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Avera Holy Family Hospital
Critical Access Hospitals · Estherville, IAAvera Marshall Regional Medical Ctr
Critical Access Hospitals · Marshall, MNAvera Sacred Heart Hospital
Acute Care Hospitals · Yankton, SDAvera Mckennan Hospital & University Health Center
Acute Care Hospitals · Sioux Falls, SDHuron Regional Medical Center
Critical Access Hospitals · Huron, SDPhysician 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.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SIOUX FALLS, SD 57108
SIOUX FALLS, SD 57108
SIOUX FALLS, SD 57108
SIOUX FALLS, SD 57108
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 Joseph Fanciullo's NPI number?
The NPI number for Joseph Fanciullo is 1437182516. It was assigned to this individual provider in the NPPES registry on July 9, 2006.
Where is Joseph Fanciullo located?
Joseph Fanciullo practices at 6100 S Louise Ave Ste 1130, Sioux Falls, SD 57108. The listed phone number is (605) 504-1600.
What is Joseph Fanciullo's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.
Is Joseph Fanciullo enrolled in Medicare?
Yes. Joseph Fanciullo 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 Joseph Fanciullo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Fanciullo reassigns Medicare benefits to Avera Mckennan (Sioux Falls, SD). 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 Joseph Fanciullo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Joseph Fanciullo accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Avera Health Plans and Wellmark Health Plan of Iowa, Inc. and 1 other insurer list Joseph Fanciullo 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 Joseph Fanciullo affiliated with any hospitals?
According to CMS data, Joseph Fanciullo is affiliated with Avera Holy Family Hospital, Avera Marshall Regional Medical Ctr, Avera Sacred Heart Hospital, Avera Mckennan Hospital & University Health Center and Huron Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Joseph Fanciullo was last updated on October 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Joseph J Fanciullo, MD · NPI 1437182516
Rheumatology physician in Sioux Falls, South Dakota. Individual provider, active in the CMS NPPES registry since July 9, 2006.
## Identity
- **NPI:** 1437182516 (Entity type: Individual)
- **Enumerated:** July 9, 2006
- **Primary specialty:** Internal Medicine - Rheumatology · taxonomy 207RR0500X
- **State license:** 4251 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 6100 S LOUISE AVE STE 1130, Sioux Falls, SD 57108-6021
- **Phone:** (605) 504-1600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Avera Mckennan (NPI 1003188269, Sioux Falls, SD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Nebraska College Of Medicine, class of 1992
## Record status
- **NPPES last updated:** October 31, 2019
- **Other identifiers:** Medicaid 6630073 (SD); Other P00757173 (SD); Other 660003929 (SD); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1437182516) · Data from the CMS NPPES public registry.