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MUSTAFA ALI MD
NPI 1467004515
Internal Medicine - Pulmonary Disease in Sioux Falls, SD

Active since July 09, 2019PECOS EnrolledAccepts Medicare Assignment
1420 W 22ND ST STE 407, SIOUX FALLS, SD 57105(605) 328-8900 Get Directions Write a Review

NPPES record last updated: August 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 23, 2025, Jul 9, 2019 (2 updates tracked since 2019).

About Mustafa Ali Md NPPES

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

MUSTAFA ALI MD (NPI 1467004515) is an individual pulmonary disease provider in Sioux Falls, South Dakota, licensed in South Dakota (17374) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Avera St Lukes, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1467004515
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMUSTAFA ALICredential: MD
Location Address1420 W 22ND ST STE 407Sioux Falls, SD 57105-1507
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-9419
Phone(605) 328-8900
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 9, 2019
Last NPPES UpdateAugust 3, 20252 updates tracked since enumeration
NPPES CertifiedAugust 3, 2025
✔ NPI 1467004515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in SD · 17374
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1420 W 22ND ST STE 407, Sioux Falls, SD 57105
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan, Wellmark Health Plan of Iowa, Inc. 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

Mustafa Ali 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 ID6709267552
PECOS Enrollment IDI20250904003459
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 Reassignments

3

Medicare enrollment records show Mustafa Ali reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sanford Medical Center
0.7 mi
Family Medicine
1420 W 22NDST STE 104
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,097 clinicians in this Medicare group
NPI 1093090342 (605) 328-4897
Sanford Health Network
18 mi
Family Medicine
400 N HIAWATHA DRIVE
Canton, SD 57013
  • Reassigned Medicare billing, South Dakota enrollment
  • 422 clinicians in this Medicare group
NPI 1033140454 (605) 987-4378
Winner Regional Healthcare Center
157 mi
Critical Access
745 E 8TH ST
Winner, SD 57580
  • Reassigned Medicare billing, South Dakota enrollment
  • 41 clinicians in this Medicare group
NPI 1538233549 (605) 842-7100

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.

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

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Sanford Medical Center Aberdeen

Acute Care Hospitals · Aberdeen, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430097
Location2905 3rd Ave SEAberdeen, SD 57402 · Brown County
Emergency services Birthing friendly

Winner Regional Healthcare Center - Cah

Critical Access Hospitals · Winner, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431334
Location745 East 8th StreetWinner, SD 57580 · Tripp County
Emergency services

Sanford Vermillion Hospital

Critical Access Hospitals · Vermillion, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431336
Location20 South Plum StreetVermillion, SD 57069 · Clay 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 8

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

MEGAN TAYLOR WELSH CNP
Nurse Practitioner
1420 W 22ND ST STE 407
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8900
MOHAMMED T T AWAD MD
Internal Medicine (Pulmonary Disease)
1420 W 22ND ST STE 407
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8901
DR. ANNA PLEMMONS MD
Internal Medicine (Pulmonary Disease)
1420 W 22ND ST STE 407
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8900
EMILY CHRISTINE BOSTIC PA-C
Physician Assistant
1420 W 22ND ST STE 407
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8900
JESSICA ANN YOSHINO APRN
Nurse Practitioner
1420 W 22ND ST STE 407
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8900
JENNIFER DEGROOT FNP
Nurse Practitioner
1420 W 22ND ST STE 407
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8900
RYAN MARX HYDE D.O
Internal Medicine (Pulmonary Disease)
1420 W 22ND ST STE 407
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8900
JOHN C YU M.D.
Internal Medicine (Pulmonary Disease)
1420 W 22ND ST STE 407
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8900

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 Mustafa Ali's NPI number?

The NPI number for Mustafa Ali is 1467004515. It was assigned to this individual provider in the NPPES registry on July 9, 2019.

Where is Mustafa Ali located?

Mustafa Ali practices at 1420 W 22nd St Ste 407, Sioux Falls, SD 57105. The listed phone number is (605) 328-8900.

What is Mustafa Ali's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Mustafa Ali enrolled in Medicare?

Yes. Mustafa Ali 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 organizations bill Medicare for Mustafa Ali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mustafa Ali reassigns Medicare benefits to 3 organizations: Sanford Medical Center (Sioux Falls, SD), Sanford Health Network (Canton, SD) and Winner Regional Healthcare Center (Winner, SD). Each 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 Mustafa Ali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mustafa Ali accept?

Health plans from Blue Cross Blue Shield of North Dakota, Sanford Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Mustafa Ali 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 Mustafa Ali affiliated with any hospitals?

According to CMS data, Mustafa Ali is affiliated with Avera St Lukes, Sanford Usd Medical Center, Sanford Medical Center Aberdeen, Winner Regional Healthcare Center - Cah and Sanford Vermillion Hospital.

When was this NPI record last updated?

The NPPES record for Mustafa Ali was last updated on August 3, 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.