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RODOLFO M. SANCHEZ M.D.
NPI 1164536819
Family Medicine in Omaha, NE

Active since August 19, 2006PECOS EnrolledAccepts Medicare Assignment
3440 S 50TH ST, OMAHA, NE 68106(402) 241-9040(402) 884-0088 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 10, 2021, Apr 9, 2021 (2 updates tracked since 2021).

About Rodolfo M. Sanchez M.d. NPPES

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

RODOLFO M. SANCHEZ M.D. (NPI 1164536819) is an individual family medicine provider in Omaha, Nebraska, licensed in Nebraska (21472) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1164536819
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRODOLFO M. SANCHEZCredential: M.D.
Location Address3440 S 50TH STOmaha, NE 68106-3829
Mailing Address3440 S 50th StOmaha, NE 68106-3829 · (402) 216-6020
Phone(402) 241-9040
Fax(402) 884-0088
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateAugust 19, 2006
Last NPPES UpdateMay 10, 20212 updates tracked since enumeration
NPPES CertifiedMay 10, 2021
✔ NPI 1164536819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NE · 21472
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3440 S 50TH ST, Omaha, NE 68106
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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, Ambetter Health of Delaware 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

Rodolfo M. Sanchez 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 ID3678509494
PECOS Enrollment IDI20050713000547
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 Reassignments

2

Medicare enrollment records show Rodolfo Sanchez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sanchez Family Medical LLC
Same address
Clinic/Center
3440 S 50TH ST
Omaha, NE 68106
  • Reassigned Medicare billing, Nebraska enrollment
NPI 1003409871 (402) 214-9040
Oneworld Community Health Centers, Inc.
1.5 mi
Federally Qualified Health Center (FQHC)
5616 L ST
Omaha, NE 68117
  • Reassigned Medicare billing, Nebraska enrollment
  • 98 clinicians in this Medicare group
NPI 1043941719 (402) 952-4050

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

SANCHEZ FAMILY MEDICAL LLC
Clinic/Center
3440 S 50TH ST
OMAHA, NE 68106
Douglas County (402) 214-9040
MARGARITA RODRIGUEZ-ESCOBAR, M.D., LLC
Family Medicine
3440 S 50TH ST
OMAHA, NE 68106
Douglas County (402) 916-4130
GEORGETOWN MEDICAL, PC
Contractor
3440 S 50TH ST
OMAHA, NE 68106
Douglas County (402) 556-3000
MARY ANN HUTFLESS R.PH.
Pharmacist
3440 S 50TH ST
OMAHA, NE 68106
Douglas County (402) 556-3000
DR. MOHSEN ABOU SEIF M.B.CH.B
Family Medicine
3440 S 50TH ST
OMAHA, NE 68106
Douglas County (402) 404-6061
ST. GEORGE FAMILY PRACTICE P.C
Family Medicine
3440 S 50TH ST
OMAHA, NE 68106
Douglas County (402) 404-6061
GEORGE STANLEY HUTFLESS M.D.
Internal Medicine
3440 S 50TH ST
OMAHA, NE 68106
Douglas County (402) 556-3000

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 Rodolfo Sanchez's NPI number?

The NPI number for Rodolfo Sanchez is 1164536819. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Rodolfo Sanchez located?

Rodolfo Sanchez practices at 3440 S 50th St, Omaha, NE 68106. The listed phone number is (402) 241-9040.

What is Rodolfo Sanchez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rodolfo Sanchez enrolled in Medicare?

Yes. Rodolfo Sanchez 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 organizations bill Medicare for Rodolfo Sanchez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rodolfo Sanchez reassigns Medicare benefits to 2 organizations: Sanchez Family Medical LLC (Omaha, NE) and Oneworld Community Health Centers, Inc. (Omaha, NE). Each 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 Rodolfo Sanchez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rodolfo Sanchez accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company list Rodolfo Sanchez 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 Rodolfo Sanchez was last updated on May 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.