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OMAHA NEPHROLOGY PC
NPI 1053407064
Internal Medicine - Nephrology in Omaha, NE

Active since October 05, 2006
1111 N 102ND CT STE 200, OMAHA, NE 68114(402) 502-2747(402) 502-2387 Get Directions Write a Review

NPPES record last updated: April 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 10, 2019, Aug 21, 2018, May 8, 2018 (3 updates tracked since 2018).

About Omaha Nephrology Pc NPPES

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

OMAHA NEPHROLOGY PC (NPI 1053407064) is a healthcare organization registered as a nephrology in Omaha, Nebraska and active in the NPI registry since October 2006. The organization lists David C Goldner, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1053407064
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameOMAHA NEPHROLOGY PC
Location Address1111 N 102ND CT STE 200Omaha, NE 68114-2194
Mailing Address1111 N 102nd Ct Ste 200Omaha, NE 68114-2194 · (402) 502-2747 · Fax (402) 502-2387
Phone(402) 502-2747
Fax(402) 502-2387
Organization SubpartNo
Authorized OfficialDavid C GoldnerAuthorized Official · (402) 502-2747
Enumeration DateOctober 5, 2006
Last NPPES UpdateApril 10, 20193 updates tracked since enumeration
✔ NPI 1053407064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1111 N 102ND CT STE 200, Omaha, NE 68114
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Other Identifiers 2

OtherCD3083NE · Railroad Medicare
Medicaid0993865IA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 18

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

DAVID ALLEN MCMILLAN DO
Internal Medicine (Nephrology)
1111 N 102ND CT STE 200
OMAHA, NE 68114
Douglas County (402) 502-2747
DR. JOSEPH PATRICK BAST JR. M.D.
Internal Medicine (Nephrology)
1111 N 102ND CT STE 200
OMAHA, NE 68114
Douglas County (402) 502-2747
PETER N. PIPERIS, MD PC
Nurse Anesthetist, Certified Registered
1111 N 102ND CT STE 200
OMAHA, NE 68114
Douglas County (402) 991-6559
GRANT FABRY APRN-NP
Nurse Practitioner
1111 N 102ND CT STE 200
OMAHA, NE 68114
Douglas County (402) 502-2747
JULIA MARIE WAGEMAN APRN
Nurse Practitioner
1111 N 102ND CT STE 200
OMAHA, NE 68114
Douglas County (402) 502-2747
MIKAYLA MARIE GREENWALD
Physician Assistant (Medical)
1111 N 102ND CT STE 200
OMAHA, NE 68114
Douglas County (402) 502-2747
ERIC KEONI MAGLIULO MD
Internal Medicine (Nephrology)
1111 N 102ND CT STE 200
OMAHA, NE 68114
Douglas County (024) 502-2747
KATELYN EVANS PA
Physician Assistant
1111 N 102ND CT STE 200
OMAHA, NE 68114
Douglas County (402) 991-6559

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 Omaha Nephrology PC's NPI number?

The NPI number for Omaha Nephrology PC is 1053407064. It was assigned to this organization in the NPPES registry on October 5, 2006.

Where is Omaha Nephrology PC located?

Omaha Nephrology PC is located at 1111 N 102nd Ct Ste 200, Omaha, NE 68114. The listed phone number is (402) 502-2747.

What is Omaha Nephrology PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

What insurance does Omaha Nephrology PC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 1 other insurer list Omaha Nephrology PC 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.

When was this NPI record last updated?

The NPPES record for Omaha Nephrology PC was last updated on April 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.