DR. KAREN F PLATI M.D.
NPI 1609890433
Pediatrics - Pediatric Gastroenterology in Sioux Falls, SD

Q: What is Karen Plati's NPI number?

The NPI number for Karen Plati is 1609890433. It was assigned to this individual provider in the NPPES registry on July 26, 2006. The provider is also known as Karen Francolla.

Q: What is Karen Plati's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Q: When was this NPI record last updated?

The NPPES record for Karen Plati was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.

Active since July 26, 2006PECOS Enrolled

911 E 20TH ST STE 510, SIOUX FALLS, SD 57105(605) 322-3666(605) 504-9924 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 9, 2026, Apr 14, 2023 (2 updates tracked since 2023).

On this page

About Dr. Karen F Plati M.d. NPPES

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

DR. KAREN F PLATI M.D. (NPI 1609890433) is an individual pediatric gastroenterology provider in Sioux Falls, South Dakota, licensed in South Dakota (14152) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Des Moines.

NPPES Registry Identity

NPI1609890433

Entity TypeIndividualFemale

Primary Taxonomy2080P0206X

Provider Legal NameDR. KAREN F PLATICredential: M.D.

Location Address911 E 20TH ST STE 510Sioux Falls, SD 57105-1046

Mailing Address911 E 20th St Ste 510Sioux Falls, SD 57105-1046 · (605) 322-3666 · Fax (605) 504-9924

Phone(605) 322-3666

Fax(605) 504-9924

Sole ProprietorNo

Enumeration DateJuly 26, 2006

Last NPPES UpdateSeptember 9, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2026

✔ NPI 1609890433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0206X

Licenses✔ Licensed in SD · 14152✔ Licensed in IA · MD-41761✔ Licensed in WI · 48027✔ Licensed in NJ · 25MA08373900

Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

911 E 20TH ST STE 510, Sioux Falls, SD 57105

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Other Names 1

Former Name (1)Karen Francolla

Secondary Practice Location 1

Location 1330 Laurel St, Suite 1200Des Moines, IA 50314-3034 · Phone (515) 643-5454 · Fax (515) 643-5460

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Sanford Health Plan, Security 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 (PECOS)

Dr. Karen F Plati M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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

Sanford Clinic

0.9 mi

Ophthalmology

1621 S MINNESOTA AVE
Sioux Falls, SD 57105

Reassigned Medicare billing, South Dakota enrollment
826 clinicians in this Medicare group

NPI 1366468449 (605) 328-9200

Sanford Medical Center

1.6 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

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

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 2

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

MS. TONYA R. ADAMIAK M.D.

Pediatrics (Pediatric Gastroenterology)

911 E 20TH ST STE 510
SIOUX FALLS, SD 57105

Minnehaha County (605) 322-3666

MELISSA JENSEN MD

Pediatrics

911 E 20TH ST STE 510
SIOUX FALLS, SD 57105

Minnehaha County (605) 322-3666

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 Karen Plati's NPI number?

The NPI number for Karen Plati is 1609890433. It was assigned to this individual provider in the NPPES registry on July 26, 2006. The provider is also known as Karen Francolla.

Where is Karen Plati located?

Karen Plati practices at 911 E 20th St Ste 510, Sioux Falls, SD 57105. The listed phone number is (605) 322-3666.

What is Karen Plati's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Karen Plati enrolled in Medicare?

Yes. Karen Plati is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Karen Plati's services?

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

What insurance does Karen Plati accept?

Health plans from Oscar Insurance Company, Sanford Health Plan, Security Health Plan, UnitedHealthcare and Wellmark Health Plan of Iowa, Inc. and 1 other insurer list Karen Plati 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 Karen Plati was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.