DAVID THOMAS POREMBKA D.O. NPI 1104884063

NPI Information

NPI: 1104884063
Provider Name: DAVID THOMAS POREMBKA, D.O.
Classification: Anesthesiology - 207LC0200X
Specialization: Critical Care Medicine
Entity Type: Individual
PECOS Registration: Yes
Address: 1325 S CLIFF AVE
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 322-2460

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NPI Details

David Thomas Porembka, D.O. is a critical care medicine anesthesiology in Sioux Falls, SD with 45 years of experience. The provider is an anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. David Thomas Porembka, D.O. NPI is 1104884063. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1981

The provider's business location address is:

1325 S CLIFF AVE
SIOUX FALLS, SD
ZIP 57105-007
Phone: (605) 322-2460
Fax: (605) 322-2470

The NPI 1104884063 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Critical care, first 30-74 minutes (HCPCS:99291)
Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
Critical care, each additional 30 minutes (HCPCS:99292)
Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)

The enumeration date for this NPI number is 5/2/2006 and was last updated on 11/18/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207LC0200X	Anesthesiology	Critical Care Medicine	34-003628	OHIO	No
2	207LC0200X	Anesthesiology	Critical Care Medicine	5101008315	MICHIGAN	No
3	207LC0200X	Anesthesiology	Critical Care Medicine	9292	SOUTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0685405	MEDICAID	OHIO
2	PO0607484	MEDICARE PIN	OHIO
3	100337010	MEDICAID	INDIANA
4	64862956	MEDICAID	KENTUCKY
5	A17715	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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