FIORELA CALDERON SANDOVAL M.D.
NPI 1548716889
Hospitalist in Sioux Falls, SD

Active since August 28, 2016PECOS EnrolledAccepts Medicare Assignment
77.99/100
CMS Quality Rating
1305 W 18TH ST, SIOUX FALLS, SD 57105(605) 328-4973 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 16, 2022, Aug 2, 2022, Aug 28, 2016 (3 updates tracked since 2016).

About Fiorela Calderon Sandoval M.d. NPPES

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

FIORELA CALDERON SANDOVAL M.D. (NPI 1548716889) is an individual hospitalist provider in Sioux Falls, South Dakota, licensed in South Dakota (13235) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1548716889
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameFIORELA CALDERON SANDOVALCredential: M.D.
Location Address1305 W 18TH STSioux Falls, SD 57105-0401
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 28, 2016
Last NPPES UpdateAugust 16, 20223 updates tracked since enumeration
NPPES CertifiedAugust 16, 2022
NPI 1548716889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in SD · 13235
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

1305 W 18TH ST, Sioux Falls, SD 57105

Secondary Practice Location 1

Location 1701 Park Avenue SouthMinneapolis, MN 55415 · Phone (612) 873-4733

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Fiorela Calderon Sandoval 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 ID1254614290
PECOS Enrollment IDI20220816000727
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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
114 services42 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
53 services24 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
31 services30 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

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

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.

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.

77.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.13
Promoting Interoperability99
Improvement Activities40
Cost47.35

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.

Internal Medicine (Clinical Cardiac Electrophysiology)
1305 W 18TH ST
SIOUX FALLS, SD 57105
Internal Medicine
1305 W 18TH ST
SIOUX FALLS, SD 57105
Internal Medicine
1305 W 18TH ST
SIOUX FALLS, SD 57105
Family Medicine
1305 W 18TH ST
SIOUX FALLS, SD 57105
Internal Medicine
1305 W 18TH ST
SIOUX FALLS, SD 57105
Pathology (Anatomic Pathology & Clinical Pathology)
1305 W 18TH ST
SIOUX FALLS, SD 57105
Specialist (Graphics Designer)
1305 W 18TH ST
SIOUX FALLS, SD 57105
Pathology (Anatomic Pathology & Clinical Pathology)
1305 W 18TH ST
SIOUX FALLS, SD 57105

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 Fiorela Calderon Sandoval's NPI number?

The NPI number for Fiorela Calderon Sandoval is 1548716889. It was assigned to this individual provider in the NPPES registry on August 28, 2016.

Where is Fiorela Calderon Sandoval located?

Fiorela Calderon Sandoval practices at 1305 W 18th St, Sioux Falls, SD 57105. The listed phone number is (605) 328-4973.

What is Fiorela Calderon Sandoval's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Fiorela Calderon Sandoval enrolled in Medicare?

Yes. Fiorela Calderon Sandoval 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.

What insurance does Fiorela Calderon Sandoval accept?

Health plans from Medica list Fiorela Calderon Sandoval 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 Fiorela Calderon Sandoval affiliated with any hospitals?

According to CMS data, Fiorela Calderon Sandoval is affiliated with Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Fiorela Calderon Sandoval was last updated on August 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.