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CRISTIAN DANIEL RIOS PEREZ M.D.
NPI 1871957894
Internal Medicine - Hepatology in Sioux Falls, SD

Active since April 06, 2016PECOS EnrolledAccepts Medicare Assignment
1600 S HIGHLINE AVE STE 220, SIOUX FALLS, SD 57110(605) 322-8535 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Cristian Daniel Rios Perez M.d. NPPES

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

CRISTIAN DANIEL RIOS PEREZ M.D. (NPI 1871957894) is an individual hepatology provider in Sioux Falls, South Dakota, licensed in South Dakota (14339) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Spencer Municipal Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1871957894
Entity TypeIndividualMale
Primary Taxonomy207RI0008X
Provider Legal NameCRISTIAN DANIEL RIOS PEREZCredential: M.D.
Location Address1600 S HIGHLINE AVE STE 220Sioux Falls, SD 57110-1008
Mailing AddressJiron Los Arqueologos 117 Los Alamos De Monterrico, Santiago De SurcoLima, LIMA LIMA 33 · (511) 345-1428
Phone(605) 322-8535
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateApril 6, 2016
Last NPPES UpdateMarch 24, 2025
NPPES CertifiedMarch 24, 2025
✔ NPI 1871957894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · HepatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0008X
License✔ Licensed in SD · 14339
Definition
The discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1600 S HIGHLINE AVE STE 220, Sioux Falls, SD 57110
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Avera Health Plans 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 and accepts Medicare assignment

Cristian Daniel Rios Perez M.d. 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 ID1557633377
PECOS Enrollment IDI20230825002382
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 Reassignment

Medicare enrollment records show Cristian Rios Perez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Avera Mckennan
Same address
Endocrinology, Diabetes & Metabolism
1600 S HIGHLINE AVE STE 310
Sioux Falls, SD 57110
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,277 clinicians in this Medicare group
NPI 1396711016 (605) 322-7600

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 10

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.
51 services47 patients
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.
43 services42 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.
39 services39 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.
36 services24 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.
28 services26 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.
23 services23 patients

Hospital Affiliations CMS Care Compare 5

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

Spencer Municipal Hospital

Acute Care Hospitals · Spencer, IA
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160112
Location1200 1st Avenue EastSpencer, IA 51301 · Clay County
Emergency services Birthing friendly

Avera Marshall Regional Medical Ctr

Critical Access Hospitals · Marshall, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number241359
Location300 South Bruce StreetMarshall, MN 56258 · Lyon County
Emergency services

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

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Avera Queen Of Peace

Critical Access Hospitals · Mitchell, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431340
Location525 N FosterMitchell, SD 57301 · Davison County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

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

AVERA MCKENNAN
Internal Medicine (Hepatology)
1600 S HIGHLINE AVE STE 220
SIOUX FALLS, SD 57110
Minnehaha County (605) 322-8535

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 Cristian Rios Perez's NPI number?

The NPI number for Cristian Rios Perez is 1871957894. It was assigned to this individual provider in the NPPES registry on April 6, 2016.

Where is Cristian Rios Perez located?

Cristian Rios Perez practices at 1600 S Highline Ave Ste 220, Sioux Falls, SD 57110. The listed phone number is (605) 322-8535.

What is Cristian Rios Perez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hepatology, with taxonomy code 207RI0008X.

Is Cristian Rios Perez enrolled in Medicare?

Yes. Cristian Rios Perez 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 Cristian Rios Perez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cristian Rios Perez reassigns Medicare benefits to Avera Mckennan (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 Cristian Rios Perez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cristian Rios Perez accept?

Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Avera Health Plans, Medica and Wellmark Health Plan of Iowa, Inc. and 1 other insurer list Cristian Rios Perez 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 Cristian Rios Perez affiliated with any hospitals?

According to CMS data, Cristian Rios Perez is affiliated with Spencer Municipal Hospital, Avera Marshall Regional Medical Ctr, Avera St Lukes, Avera Mckennan Hospital & University Health Center and Avera Queen Of Peace.

When was this NPI record last updated?

The NPPES record for Cristian Rios Perez was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.