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SANDEEP PULIMI MD
NPI 1730429408
Internal Medicine in Sioux City, IA

Active since February 18, 2013PECOS EnrolledAccepts Medicare Assignment
801 5TH ST, 801 FIFTH STREET, SIOUX CITY, IA 51101(712) 279-5999 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sandeep Pulimi Md NPPES

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

SANDEEP PULIMI MD (NPI 1730429408) is an individual internal medicine provider in Sioux City, Iowa, licensed in Illinois (036134086) and active in the NPI registry since February 2013. He is enrolled in Medicare PECOS, is affiliated with Osf Little Company Of Mary Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1730429408
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSANDEEP PULIMICredential: MD
Location Address801 5TH ST, 801 FIFTH STREETSioux City, IA 51101-1326
Mailing Address8117 Preston RdDallas, TX 75225-6332
Phone(712) 279-5999
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateFebruary 18, 2013
Last NPPES UpdateAugust 26, 2024
NPPES CertifiedAugust 26, 2024
✔ NPI 1730429408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036134086
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.
Also ListedHospitalistTaxonomy 208M00000X · License 61434-20 (WI)
801 5TH ST, Sioux City, IA 51101
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Sandeep Pulimi Md 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 ID5890936587
PECOS Enrollment IDI20150106000473
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 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.

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.
139 services138 patients
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.
134 services90 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
100 services21 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.
93 services37 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
92 services18 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.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Osf Little Company Of Mary Medical Center

Acute Care Hospitals · Evergreen Park, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140179
Location2800 W 95th StEvergreen Park, IL 60805 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51101 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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%188 patients5/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers38 claims38 services$14.93 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers58 claims58 services$62.33 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MS. KRISTI JO HANSEN P.A.
Physician Assistant
801 5TH ST
SIOUX CITY, IA 51101
Woodbury County (712) 279-2512
KIRSTEN MARIE NEDVED
Nurse Practitioner
801 5TH ST
SIOUX CITY, IA 51101
Woodbury County (712) 294-7020
NICOLE MARIE KASSING
Physical Therapy Assistant
801 5TH ST
SIOUX CITY, IA 51101
Woodbury County (712) 233-5129
MARK EDWARD DAVIS CNP
Nurse Practitioner
801 5TH ST
SIOUX CITY, IA 51101
Woodbury County (712) 279-2010
DR. BRETT C. BIEBER PHARM.D. (RPH)
Pharmacist
801 5TH ST, MERCY MEDICAL CENTER - MAIN PHARMACY
SIOUX CITY, IA 51101
Woodbury County (712) 279-5992
GINGER DAWN HAMILTON FNP
Nurse Practitioner
801 5TH ST
SIOUX CITY, IA 51101
Woodbury County (712) 279-2010
DEBORAH CARTER CRNA
Nurse Anesthetist, Certified Registered
801 5TH ST
SIOUX CITY, IA 51101
Woodbury County (712) 279-2505
DR. PETER JON ANDERSON M.D.
Internal Medicine
801 5TH ST
SIOUX CITY, IA 51101
Woodbury County (712) 279-2010

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 Sandeep Pulimi's NPI number?

The NPI number for Sandeep Pulimi is 1730429408. It was assigned to this individual provider in the NPPES registry on February 18, 2013.

Where is Sandeep Pulimi located?

Sandeep Pulimi practices at 801 5th St 801 Fifth Street, Sioux City, IA 51101. The listed phone number is (712) 279-5999.

What is Sandeep Pulimi's specialty?

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

Is Sandeep Pulimi enrolled in Medicare?

Yes. Sandeep Pulimi 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.

What insurance does Sandeep Pulimi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Sandeep Pulimi 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 Sandeep Pulimi affiliated with any hospitals?

According to CMS data, Sandeep Pulimi is affiliated with Osf Little Company Of Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Sandeep Pulimi was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.