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ERIC VINCENT MITTELSTAEDT M.D.
NPI 1477996445
Pediatrics - Pediatric Cardiology in Sioux Falls, SD

Active since April 09, 2013PECOS EnrolledAccepts Medicare Assignment
76.69/100
CMS Quality Rating
1600 W 22ND ST, SIOUX FALLS, SD 57105(605) 312-1000(605) 312-1001 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 5, 2021, Jul 30, 2020 (2 updates tracked since 2020).

About Eric Vincent Mittelstaedt M.d. NPPES

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

ERIC VINCENT MITTELSTAEDT M.D. (NPI 1477996445) is an individual pediatric cardiology provider in Sioux Falls, South Dakota, licensed in South Dakota (12051) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Chicago College Of Medicine And Surgery (2013).

NPPES Registry Identity

NPI1477996445
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameERIC VINCENT MITTELSTAEDTCredential: M.D.
Location Address1600 W 22ND STSioux Falls, SD 57105-1521
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Phone(605) 312-1000
Fax(605) 312-1001
Sole ProprietorNo
Medical School CMSChicago College Of Medicine And SurgeryGraduated 2013
Enumeration DateApril 9, 2013
Last NPPES UpdateMarch 28, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2021
✔ NPI 1477996445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in SD · 12051
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
1600 W 22ND ST, Sioux Falls, SD 57105
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13901 Beaubien StDetroit, MI 48201-2119 · Phone (313) 966-0254
Location 21600 W 22nd StSioux Falls, SD 57105-1521 · Phone (605) 312-1000 · Fax (605) 312-1001

Accepted Insurance

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

Eric Vincent Mittelstaedt M.d. 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 ID3173825403
PECOS Enrollment IDI20200916000279
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 Eric Mittelstaedt reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sanford Clinic
Same address
Pediatrics
1600 W 22ND ST
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 826 clinicians in this Medicare group
NPI 1881610889 (605) 312-1000
Sanford Medical Center
0.8 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
19 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

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.56
Promoting Interoperability99
Improvement Activities40
Cost44.56

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.

JANELLE VANDE GRIEND APRN-CPNP
Nurse Practitioner
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-1000
KAILEN K KRAUSE
Registered Nurse (Pediatrics)
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-1000
AMANDA CHARLENE NOONAN DNP
Nurse Practitioner (Psychiatric/Mental Health)
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-6585
KAYELYN J. WAGNER M.D.
Pediatrics (Pediatric Hematology-Oncology)
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-1000
AMBER JENAE VELDMAN MD
Pediatrics
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-1000
SYED HARIS ZAMIR KAZMI MD
Pediatrics
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-1000
MRS. MORGAN DOLORES COLLINS RN, CDCES
Registered Nurse (Diabetes Educator)
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-1000
CHARLES A BROBERG DC, PA,
Physician Assistant
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-1000

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 Eric Mittelstaedt's NPI number?

The NPI number for Eric Mittelstaedt is 1477996445. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Where is Eric Mittelstaedt located?

Eric Mittelstaedt practices at 1600 W 22nd St, Sioux Falls, SD 57105. The listed phone number is (605) 312-1000.

What is Eric Mittelstaedt's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Eric Mittelstaedt enrolled in Medicare?

Yes. Eric Mittelstaedt 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 Eric Mittelstaedt's services?

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

What insurance does Eric Mittelstaedt accept?

Health plans from Blue Cross Blue Shield of North Dakota, Oscar Insurance Company, Sanford Health Plan, Security Health Plan and Wellmark Health Plan of Iowa, Inc. and 1 other insurer list Eric Mittelstaedt 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 Eric Mittelstaedt was last updated on March 28, 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.