ETHAN LEIF MD
NPI 1932896123
Student in an Organized Health Care Education/Training Program in Sioux Falls, SD

Active since April 19, 2023PECOS EnrolledAccepts Medicare Assignment
1115 E 20TH ST, SIOUX FALLS, SD 57105(605) 575-1644 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ethan Leif Md NPPES

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

ETHAN LEIF MD (NPI 1932896123) is an individual student in an organized health care education/training program in Sioux Falls, South Dakota and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2023).

NPPES Registry Identity

NPI1932896123
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameETHAN LEIFCredential: MD
Location Address1115 E 20TH STSioux Falls, SD 57105-1013
Mailing Address1115 E 20th StSioux Falls, SD 57105-1013 · (605) 350-4473
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2023
Enumeration DateApril 19, 2023
Last NPPES UpdateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
NPI 1932896123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1115 E 20TH ST, Sioux Falls, SD 57105

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

Ethan Leif 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 ID6204297559
PECOS Enrollment IDI20251014002005
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.

Hospital Affiliations CMS Care Compare 2

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

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

Madison Regional Health System

Critical Access Hospitals · Madison, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431300
Location323 SW 10th StMadison, SD 57042 · Lake County
Emergency services

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.

Family Medicine
1115 E 20TH ST
SIOUX FALLS, SD 57105
Student in an Organized Health Care Education/Training Program
1115 E 20TH ST
SIOUX FALLS, SD 57105
Student in an Organized Health Care Education/Training Program
1115 E 20TH ST
SIOUX FALLS, SD 57105
Family Medicine
1115 E 20TH ST
SIOUX FALLS, SD 57105
Family Medicine
1115 E 20TH ST
SIOUX FALLS, SD 57105
Student in an Organized Health Care Education/Training Program
1115 E 20TH ST
SIOUX FALLS, SD 57105
Family Medicine
1115 E 20TH ST
SIOUX FALLS, SD 57105
Student in an Organized Health Care Education/Training Program
1115 E 20TH ST
SIOUX FALLS, SD 57105

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 Ethan Leif's NPI number?

The NPI number for Ethan Leif is 1932896123. It was assigned to this individual provider in the NPPES registry on April 19, 2023.

Where is Ethan Leif located?

Ethan Leif practices at 1115 E 20th St, Sioux Falls, SD 57105. The listed phone number is (605) 575-1644.

What is Ethan Leif's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ethan Leif enrolled in Medicare?

Yes. Ethan Leif 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.

Is Ethan Leif affiliated with any hospitals?

According to CMS data, Ethan Leif is affiliated with Avera Mckennan Hospital & University Health Center and Madison Regional Health System.

When was this NPI record last updated?

The NPPES record for Ethan Leif was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.