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MAMOON AHMED
NPI 1679184360
Hospitalist in Sioux Falls, SD

Active since August 14, 2020PECOS 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: April 1, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 1, 2024, May 8, 2023, Aug 14, 2020 (3 updates tracked since 2020).

About Mamoon Ahmed NPPES

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

MAMOON AHMED (NPI 1679184360) is an individual hospitalist provider in Sioux Falls, South Dakota, licensed in South Dakota (0581) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Des Moines Iowa Methodist Medi, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2023).

NPPES Registry Identity

NPI1679184360
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameMAMOON AHMED
Location Address1305 W 18TH STSioux Falls, SD 57105-0401
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-9419
Phone(605) 328-4973
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2023
Enumeration DateAugust 14, 2020
Last NPPES UpdateApril 1, 20243 updates tracked since enumeration
NPPES CertifiedApril 1, 2024
✔ NPI 1679184360 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 · 0581
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1305 W 18TH ST, Sioux Falls, SD 57105
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc., Wellmark of South Dakota, 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

Mamoon Ahmed 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 ID6305266750
PECOS Enrollment IDI20230823003279, I20260618003923
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

4

Medicare enrollment records show Mamoon Ahmed reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sanford Clinic
Same address
Anatomic Pathology & Clinical Pathology
1305 W 18TH ST
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 826 clinicians in this Medicare group
NPI 1043583537 (605) 333-1720
City Of Brookings
53 mi
Multi-Specialty
310 22ND AVENUE
Brookings, SD 57006
  • Reassigned Medicare billing, South Dakota enrollment
  • 156 clinicians in this Medicare group
NPI 1982057246 (605) 696-9000
Iowa Physicians Clinic Medical Foundation
76 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
Avera Medical Group Webster
131 mi
Family Medicine
401 E HIGHWAY 12 STE 2
Webster, SD 57274
  • Reassigned Medicare billing, South Dakota enrollment
  • Medicare enrollment name: Avera St Lukes
  • 259 clinicians in this Medicare group
NPI 1588978423 (605) 345-2222

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 6

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.
1,198 services267 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.
175 services172 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.
90 services38 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
89 services87 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.
29 services28 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.
19 services19 patients

Hospital Affiliations CMS Care Compare 4

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

Unitypoint Health - Des Moines Iowa Methodist Medi

Acute Care Hospitals · Des Moines, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160082
Location1200 Pleasant StreetDes Moines, IA 50309 · Polk County
Emergency services Birthing friendly

Brookings Health System

Acute Care Hospitals · Brookings, SD
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number430008
Location300 22nd AveBrookings, SD 57006 · Brookings County
Emergency services Birthing friendly

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

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.

JEDD D BIALAS CRNA
Nurse Anesthetist, Certified Registered
1305 W 18TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 333-1000
AARON DANIEL MORTENSEN CRNA
Nurse Anesthetist, Certified Registered
1305 W 18TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 333-1000
DR. JULIANA JOHNSON FERRI GUERRA MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1305 W 18TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8700
PAUL E GILMORE CRNA
Nurse Anesthetist, Certified Registered
1305 W 18TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 333-1000
BETH ABRAHAMSON
Nurse Practitioner (Neonatal)
1305 W 18TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-3006
RYAN LAWRENCE TENNANT CNP
Nurse Practitioner
1305 W 18TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 333-1000
LCM PATHOLOGISTS PC
Pathology (Anatomic Pathology & Clinical Pathology)
1305 W 18TH ST
SIOUX FALLS, SD 57105
Minnehaha County (800) 284-9806
ARLEIGH TRAINOR MD
Emergency Medicine
1305 W 18TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 333-1000

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 Mamoon Ahmed's NPI number?

The NPI number for Mamoon Ahmed is 1679184360. It was assigned to this individual provider in the NPPES registry on August 14, 2020.

Where is Mamoon Ahmed located?

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

What is Mamoon Ahmed's specialty?

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

Is Mamoon Ahmed enrolled in Medicare?

Yes. Mamoon Ahmed 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 Mamoon Ahmed's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mamoon Ahmed reassigns Medicare benefits to 4 organizations: Sanford Clinic (Sioux Falls, SD), City Of Brookings (Brookings, SD), Iowa Physicians Clinic Medical Foundation (Kingsley, IA) and Avera Medical Group Webster (Webster, 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 Mamoon Ahmed's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mamoon Ahmed accept?

Health plans from Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Mamoon Ahmed 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 Mamoon Ahmed affiliated with any hospitals?

According to CMS data, Mamoon Ahmed is affiliated with Unitypoint Health - Des Moines Iowa Methodist Medi, Brookings Health System, Avera St Lukes and Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Mamoon Ahmed was last updated on April 1, 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.