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EDWARD ROBERT MAILLOUX MD
NPI 1710931266
Pediatrics in Sioux Falls, SD

Active since May 20, 2006PECOS Enrolled
4405 E 26TH ST, SIOUX FALLS, SD 57103(605) 328-9080(605) 328-9081 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Edward Robert Mailloux Md NPPES

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

EDWARD ROBERT MAILLOUX MD (NPI 1710931266) is an individual pediatrics provider in Sioux Falls, South Dakota, licensed in South Dakota (4720) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710931266
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameEDWARD ROBERT MAILLOUXCredential: MD
Location Address4405 E 26TH STSioux Falls, SD 57103-4187
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585 · Fax (605) 328-6512
Phone(605) 328-9080
Fax(605) 328-9081
Sole ProprietorNo
Enumeration DateMay 20, 2006
Last NPPES UpdateMarch 31, 2022
NPPES CertifiedMarch 31, 2022
✔ NPI 1710931266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in SD · 4720
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4405 E 26TH ST, Sioux Falls, SD 57103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, 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)

Edward Robert Mailloux Md 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

2

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

Sanford Clinic
Same address
Family Medicine
4405 E 26TH ST
Sioux Falls, SD 57103
  • Reassigned Medicare billing, South Dakota enrollment
  • 826 clinicians in this Medicare group
NPI 1245248764 (605) 332-2883
Sanford Medical Center
3.7 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

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 57103 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
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 20

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

BETHANY KAY ZEIGLER MD
Family Medicine
4405 E 26TH ST
SIOUX FALLS, SD 57103
Minnehaha County (605) 328-9000
SARA AYAD AHMED AL-JUBOORI MD
Student in an Organized Health Care Education/Training Program
4405 E 26TH ST
SIOUX FALLS, SD 57103
Minnehaha County (605) 328-9000
JENNIFER A. SCHRIEVER MD
Family Medicine
4405 E 26TH ST
SIOUX FALLS, SD 57103
Minnehaha County (605) 328-9000
KATIE FIEGEN FNP
Nurse Practitioner (Family)
4405 E 26TH ST
SIOUX FALLS, SD 57103
Minnehaha County (605) 332-2883
SCOTT ALAN STAUFFENECKER C-NP
Nurse Practitioner (Family)
4405 E 26TH ST
SIOUX FALLS, SD 57103
Minnehaha County (605) 332-2883
ELIZABETH B BAUER MD
Pediatrics
4405 E 26TH ST
SIOUX FALLS, SD 57103
Minnehaha County (605) 328-9080
LOUISE M PAPKA PA-C, MPAS, DFAAPA
Physician Assistant
4405 E 26TH ST
SIOUX FALLS, SD 57103
Minnehaha County (605) 332-2883
JULIA ILENE BLUE
Pediatrics
4405 E 26TH ST
SIOUX FALLS, SD 57103
Minnehaha County (605) 328-9000

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 Edward Mailloux's NPI number?

The NPI number for Edward Mailloux is 1710931266. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Edward Mailloux located?

Edward Mailloux practices at 4405 E 26th St, Sioux Falls, SD 57103. The listed phone number is (605) 328-9080.

What is Edward Mailloux's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Edward Mailloux enrolled in Medicare?

Yes. Edward Mailloux is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Edward Mailloux's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Mailloux reassigns Medicare benefits to 2 organizations: Sanford Clinic (Sioux Falls, SD) and Sanford Medical Center (Sioux Falls, 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 Edward Mailloux's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edward Mailloux accept?

Health plans from Medica, Sanford Health Plan, Security Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Edward Mailloux 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 Edward Mailloux was last updated on March 31, 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.