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ABDALAH ELTAYEB MAHMOUD AHMED MD
NPI 1457091993
Internal Medicine in Sioux Falls, SD

Active since March 31, 2022PECOS EnrolledAccepts Medicare Assignment
1325 S CLIFF AVE, SIOUX FALLS, SD 57105(605) 322-8000(605) 333-8414 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Abdalah Eltayeb Mahmoud Ahmed Md NPPES

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

ABDALAH ELTAYEB MAHMOUD AHMED MD (NPI 1457091993) is an individual internal medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (17578) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Lakes Regional Healthcare, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1457091993
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameABDALAH ELTAYEB MAHMOUD AHMEDCredential: MD
Location Address1325 S CLIFF AVESioux Falls, SD 57105-1007
Mailing Address1325 S Cliff AveSioux Falls, SD 57105-1007 · (605) 322-8000 · Fax (718) 613-4893
Phone(605) 322-8000
Fax(605) 333-8414
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateMarch 31, 2022
Last NPPES UpdateAugust 6, 2025
NPPES CertifiedAugust 6, 2025
✔ NPI 1457091993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in SD · 17578
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1325 S CLIFF AVE, Sioux Falls, SD 57105
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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

Abdalah Eltayeb Mahmoud Ahmed 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.

PECOS PAC ID6103323688
PECOS Enrollment IDI20251009003064
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 Abdalah Ahmed reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Avera Mckennan
Same address
Diagnostic Radiology
1325 S CLIFF AVE
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,277 clinicians in this Medicare group
NPI 1053680678 (605) 322-1600

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

Hospital Affiliations CMS Care Compare 5

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

Avera St Lukes

Acute Care Hospitals · Aberdeen, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number430014
Location305 S State St Post Office Box 4450Aberdeen, SD 57401 · Brown County
Emergency services Birthing friendly

Avera St Mary's Hospital

Acute Care Hospitals · Pierre, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430015
Location801 E SiouxPierre, SD 57501 · Hughes County
Emergency services Birthing friendly

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 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
$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
$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.

DR. CHETAN JIWAN WASEKAR M.D.
Hospitalist
1325 S CLIFF AVE, SUITE 4421
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-7645
ERICA GEERDES PT, DPT
Physical Therapist
1325 S CLIFF AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-5000
MR. BRANDON M HARRIS CNP
Orthopaedic Surgery (Orthopaedic Trauma)
1325 S CLIFF AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-8000
AUSTIN WADE FOX CRNA
Nurse Anesthetist, Certified Registered
1325 S CLIFF AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-8000
DR. MEGAN E ALBERTSON M.D.
Radiology (Diagnostic Radiology)
1325 S CLIFF AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-4878
CURTIS BLAKE REXROTH
Internal Medicine
1325 S CLIFF AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-8000
AVERY K BALSTER
Physical Therapist
1325 S CLIFF AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-8000
DR. TROY ADAM ROWEKAMP DO
Hospitalist
1325 S CLIFF AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-7645

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 Abdalah Ahmed's NPI number?

The NPI number for Abdalah Ahmed is 1457091993. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Where is Abdalah Ahmed located?

Abdalah Ahmed practices at 1325 S Cliff Ave, Sioux Falls, SD 57105. The listed phone number is (605) 322-8000.

What is Abdalah Ahmed's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Abdalah Ahmed enrolled in Medicare?

Yes. Abdalah Ahmed 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 Abdalah Ahmed's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abdalah Ahmed 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 Abdalah Ahmed's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abdalah Ahmed 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 Abdalah Ahmed 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 Abdalah Ahmed affiliated with any hospitals?

According to CMS data, Abdalah Ahmed is affiliated with Lakes Regional Healthcare, Avera St Lukes, Avera St Mary's Hospital, Avera Mckennan Hospital & University Health Center and Avera Heart Hospital Of South Dakota.

When was this NPI record last updated?

The NPPES record for Abdalah Ahmed was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.