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SHILA SIMKHADA M.D
NPI 1548834336
Internal Medicine in Sioux City, IA

Active since May 17, 2021PECOS EnrolledAccepts Medicare Assignment
2720 STONE PARK BLVD STE 335, SIOUX CITY, IA 51104(605) 937-5537 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 2, 2024, Oct 15, 2021, May 17, 2021 (3 updates tracked since 2021).

About Shila Simkhada M.d NPPES

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

SHILA SIMKHADA M.D (NPI 1548834336) is an individual internal medicine provider in Sioux City, Iowa, licensed in Iowa (MD-53117) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with St Lukes Regional Medical Center, and maintains a secondary practice location in Scranton.

NPPES Registry Identity

NPI1548834336
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSHILA SIMKHADACredential: M.D
Location Address2720 STONE PARK BLVD STE 335Sioux City, IA 51104-3734
Mailing Address501 S Washington AveScranton, PA 18505-3814 · (570) 591-5153
Phone(605) 937-5537
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 17, 2021
Last NPPES UpdateOctober 2, 20243 updates tracked since enumeration
NPPES CertifiedOctober 2, 2024
✔ NPI 1548834336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IA · MD-53117
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.
2720 STONE PARK BLVD STE 335, Sioux City, IA 51104
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Secondary Practice Location 1

Location 1501 S Washington AveScranton, PA 18505-3814 · Phone (570) 591-5153

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica, Wellmark Health Plan of Iowa, Inc..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

Shila Simkhada 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 ID1951846310
PECOS Enrollment IDI20240710003575
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

2

Medicare enrollment records show Shila Simkhada reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Siouxland Hospitalists PLLC
Same address
Internal Medicine
2720 STONE PARK BLVD STE 335
Sioux City, IA 51104
  • Reassigned Medicare billing, Iowa enrollment
  • 30 clinicians in this Medicare group
NPI 1831598614 (605) 937-5537
Iowa Physicians Clinic Medical Foundation
23 mi
Rural Health
111 MAIN ST
Kingsley, IA 51028
  • Reassigned Medicare billing, Iowa enrollment
  • 1,506 clinicians in this Medicare group
NPI 1659263523 (712) 378-2921

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 4

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.
135 services48 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
43 services43 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
26 services19 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
25 services25 patients

Hospital Affiliations CMS Care Compare 3

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

St Lukes Regional Medical Center

Acute Care Hospitals · Sioux City, IA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160146
Location2720 Stone Park BoulevardSioux City, IA 51104 · Woodbury County
Emergency services Birthing friendly

Cherokee Regional Medical Center

Critical Access Hospitals · Cherokee, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161362
Location300 Sioux Valley DriveCherokee, IA 51012 · Cherokee County
Emergency services Birthing friendly

Buena Vista Regional Medical Center

Critical Access Hospitals · Storm Lake, IA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161375
Location1525 West 5th StreetStorm Lake, IA 50588 · Buena Vista County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51104 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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 2

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

JOLYNN A. BUGBEE M.D.
Internal Medicine
2720 STONE PARK BLVD STE 335
SIOUX CITY, IA 51104
Woodbury County (605) 937-5537
SIOUXLAND HOSPITALISTS PLLC
Internal Medicine
2720 STONE PARK BLVD STE 335
SIOUX CITY, IA 51104
Woodbury County (605) 937-5537

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 Shila Simkhada's NPI number?

The NPI number for Shila Simkhada is 1548834336. It was assigned to this individual provider in the NPPES registry on May 17, 2021.

Where is Shila Simkhada located?

Shila Simkhada practices at 2720 Stone Park Blvd Ste 335, Sioux City, IA 51104. The listed phone number is (605) 937-5537.

What is Shila Simkhada's specialty?

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

Is Shila Simkhada enrolled in Medicare?

Yes. Shila Simkhada 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 Shila Simkhada's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shila Simkhada reassigns Medicare benefits to 2 organizations: Siouxland Hospitalists PLLC (Sioux City, IA) and Iowa Physicians Clinic Medical Foundation (Kingsley, IA). 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 Shila Simkhada's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shila Simkhada accept?

Health plans from Avera Health Plans, Medica and Wellmark Health Plan of Iowa, Inc. list Shila Simkhada 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 Shila Simkhada affiliated with any hospitals?

According to CMS data, Shila Simkhada is affiliated with St Lukes Regional Medical Center, Cherokee Regional Medical Center and Buena Vista Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Shila Simkhada was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.