DR. KARINA A GONZALEZ OTARULA MD
NPI 1861981938
Psychiatry & Neurology - Epilepsy
in Sioux Falls, SD
About Dr. Karina A Gonzalez Otarula Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KARINA A GONZALEZ OTARULA MD (NPI 1861981938) is an individual epilepsy provider in Sioux Falls, South Dakota, licensed in South Dakota (13572) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Sanford Sheldon Medical Center, and maintains a secondary practice location in Iowa City.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted 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
Dr. Karina A Gonzalez Otarula 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.
Medicare Billing Reassignment
Medicare enrollment records show Karina Gonzalez Otarula reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sioux Falls, SD 57105
- Reassigned Medicare billing, South Dakota enrollment
- 1,097 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sanford Sheldon Medical Center
Critical Access Hospitals · Sheldon, IASanford Worthington Medical Center
Acute Care Hospitals · Worthington, MNSanford Luverne Medical Center
Critical Access Hospitals · Luverne, MNSanford Usd Medical Center
Acute Care Hospitals · Sioux Falls, SDSanford Vermillion Hospital
Critical Access Hospitals · Vermillion, SDMedicare 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.
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.
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 Karina Gonzalez Otarula's NPI number?
The NPI number for Karina Gonzalez Otarula is 1861981938. It was assigned to this individual provider in the NPPES registry on May 4, 2018.
Where is Karina Gonzalez Otarula located?
Karina Gonzalez Otarula practices at 1210 W 18th St Ste 100, Sioux Falls, SD 57104. The listed phone number is (605) 312-8500.
What is Karina Gonzalez Otarula's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Epilepsy, with taxonomy code 2084E0001X.
Is Karina Gonzalez Otarula enrolled in Medicare?
Yes. Karina Gonzalez Otarula 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 organization bills Medicare for Karina Gonzalez Otarula's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karina Gonzalez Otarula reassigns Medicare benefits to Sanford Medical Center (Sioux Falls, SD). The 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 Karina Gonzalez Otarula's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karina Gonzalez Otarula accept?
Health plans from Sanford Health Plan, Security Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Karina Gonzalez Otarula 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 Karina Gonzalez Otarula affiliated with any hospitals?
According to CMS data, Karina Gonzalez Otarula is affiliated with Sanford Sheldon Medical Center, Sanford Worthington Medical Center, Sanford Luverne Medical Center, Sanford Usd Medical Center and Sanford Vermillion Hospital.
When was this NPI record last updated?
The NPPES record for Karina Gonzalez Otarula was last updated on June 11, 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.
# Dr. Karina A Gonzalez Otarula, MD · NPI 1861981938
Epilepsy physician in Sioux Falls, South Dakota. Individual provider, active in the CMS NPPES registry since May 4, 2018.
## Identity
- **NPI:** 1861981938 (Entity type: Individual)
- **Enumerated:** May 4, 2018
- **Primary specialty:** Psychiatry & Neurology - Epilepsy · taxonomy 2084E0001X
- **State license:** 13572 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1210 W 18TH ST STE 100, Sioux Falls, SD 57104-4650
- **Phone:** (605) 312-8500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sanford Medical Center (NPI 1093090342, Sioux Falls, SD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** June 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1861981938) · Data from the CMS NPPES public registry.