DR. BAKER A. ALKHAIRI M.B.B.CH.
NPI 1720519093
Internal Medicine - Rheumatology in Sioux Falls, SD

Q: What is Baker Alkhairi's NPI number?

The NPI number for Baker Alkhairi is 1720519093. It was assigned to this individual provider in the NPPES registry on March 27, 2017.

Q: What is Baker Alkhairi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for Baker Alkhairi was last updated on March 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 27, 2017PECOS EnrolledAccepts Medicare Assignment

76.69/100

CMS Quality Rating

1321 W 22ND ST, SIOUX FALLS, SD 57105(605) 328-3485 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 16, 2023, Aug 31, 2020, Mar 27, 2017 (3 updates tracked since 2017).

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About Dr. Baker A. Alkhairi M.b.b.ch. NPPES

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

DR. BAKER A. ALKHAIRI M.B.B.CH. (NPI 1720519093) is an individual rheumatology provider in Sioux Falls, South Dakota, licensed in South Dakota (13294) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Orange City Area Health System, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1720519093

Entity TypeIndividualMale

Primary Taxonomy207RR0500X

Provider Legal NameDR. BAKER A. ALKHAIRICredential: M.B.B.CH.

Location Address1321 W 22ND STSioux Falls, SD 57105-1502

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585

Phone(605) 328-3485

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 27, 2017

Last NPPES UpdateMarch 16, 20233 updates tracked since enumeration

NPPES CertifiedMarch 16, 2023

✔ NPI 1720519093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

Licenses✔ Licensed in SD · 13294✔ Licensed in FL · ME144302

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Also ListedInternal MedicineTaxonomy 207R00000X · License ME144302 (FL)

1321 W 22ND ST, Sioux Falls, SD 57105

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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.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

Dr. Baker A. Alkhairi M.b.b.ch. 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 ID5799012530

PECOS Enrollment IDI20230323000690

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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

191 services92 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

63 services49 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

34 services34 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

22 services22 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

19 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Orange City Area Health System

Critical Access Hospitals · Orange City, IA

OwnershipVoluntary non-profit - Other

CMS Certification Number161360

Location1000 Lincoln Circle SEOrange City, IA 51041 · Sioux County

Emergency services

Sanford Canby Medical Center

Critical Access Hospitals · Canby, MN

OwnershipGovernment - Hospital District or Authority

CMS Certification Number241347

Location112 St Olaf Avenue SouthCanby, MN 56220 · Yellow Medcine County

Emergency services

Sanford Luverne Medical Center

Critical Access Hospitals · Luverne, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241371

Location1600 N Kniss AvenueLuverne, MN 56156 · Rock County

Emergency services

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

Sanford Vermillion Hospital

Critical Access Hospitals · Vermillion, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431336

Location20 South Plum StreetVermillion, SD 57069 · Clay County

Emergency services

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.

76.69/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.56

Promoting Interoperability

Improvement Activities

Cost

44.56

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

99%110 patients5/55-star benchmark: 99%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

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