Dr Michael A Piplani, MD - Medicare Family Practice in Sioux City, IA

Dr Michael A Piplani, MD is a medicare enrolled "Family Medicine" physician in Sioux City, Iowa. He went to Albany Medical College Of Union University and graduated in 1995 and has 29 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Siouxland Community Health Center, Siouxland Community Health Center and his current practice location is 1021 Nebraska St, Sioux City, Iowa. You can reach out to his office (for appointments etc.) via phone at (712) 252-2477.

Dr Michael A Piplani is licensed to practice in Iowa (license number 39341) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528060696.

Contact Information

Dr Michael A Piplani, MD
1021 Nebraska St,
Sioux City, IA 51105-1436
(712) 252-2477
(712) 252-5920

Map and Direction




Physician's Profile

Full NameDr Michael A Piplani
GenderMale
SpecialityFamily Practice
Experience29 Years
Location1021 Nebraska St, Sioux City, Iowa
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Michael A Piplani attended and graduated from Albany Medical College Of Union University in 1995
  NPI Data:
  • NPI Number: 1528060696
  • Provider Enumeration Date: 06/02/2005
  • Last Update Date: 06/14/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4183768211
  • Enrollment ID: I20110614000762

Medical Identifiers

Medical identifiers for Dr Michael A Piplani such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528060696NPI-NPPES
1255339750MedicaidIA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 39341 (Iowa)Primary
207Q00000XFamily Medicine 28942 (Nebraska)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Siouxland Community Health Center993109954639
Siouxland Community Health Center993109954639

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Michael A Piplani allows following entities to bill medicare on his behalf.
Entity NameSiouxland Community Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558355305
PECOS PAC ID: 9931099546
Enrollment ID: O20040317001270

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Michael A Piplani is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Michael A Piplani, MD
1021 Nebraska St,
Sioux City, IA 51105-1436

Ph: (712) 252-2477
Dr Michael A Piplani, MD
1021 Nebraska St,
Sioux City, IA 51105-1436

Ph: (712) 252-2477

Reviews and Comments


Family Medicine Doctors in Sioux City, IA

Richard J. Kipp, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3520 Singing Hills Blvd, Sioux City, IA 51106
Phone: 712-294-7400    Fax: 712-294-7436
Dylan C Greene, M.D
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1021 Nebraska St, Sioux City, IA 51105
Phone: 712-252-2477    Fax: 712-252-5920
Kornelia Kellogg, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2501 Pierce St, Sioux City, IA 51104
Phone: 712-294-5000    Fax: 712-294-5092
Michael John Jung, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2501 Pierce St, Sioux City, IA 51104
Phone: 712-294-5000    Fax: 712-294-5091
Daniel Irwin,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2501 Pierce St, Sioux City, IA 51104
Phone: 712-294-5000    Fax: 712-294-5091
Amjad Abdelhady, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2501 Pierce St, Sioux City, IA 51104
Phone: 712-294-5018    Fax: 712-294-5092
Rodney L. Cassens, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3500 Singing Hills Blvd, Ste 100, Sioux City, IA 51106
Phone: 712-274-4250    Fax: 712-274-4260

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.