DR. CARLOS E GIRALDO VANEGAS MD
NPI 1194096248
Internal Medicine in Fremont, NE
About Dr. Carlos E Giraldo Vanegas Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CARLOS E GIRALDO VANEGAS MD (NPI 1194096248) is an individual internal medicine provider in Fremont, Nebraska, licensed in Nebraska (28167) and active in the NPI registry since January 2012. He is enrolled in Medicare PECOS, is affiliated with Methodist Fremont Health, and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted 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
Dr. Carlos E Giraldo Vanegas 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.
Medicare Billing Reassignment
Medicare enrollment records show Carlos Giraldo Vanegas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Omaha, NE 68114
- Reassigned Medicare billing, Nebraska enrollment
- 544 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Methodist Fremont Health
Acute Care Hospitals · Fremont, NEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 68025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FREMONT, NE 68025
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 Carlos Giraldo Vanegas's NPI number?
The NPI number for Carlos Giraldo Vanegas is 1194096248. It was assigned to this individual provider in the NPPES registry on January 21, 2012. The provider is also known as Carlos E Giraldo MD.
Where is Carlos Giraldo Vanegas located?
Carlos Giraldo Vanegas practices at 680 E Fremont Medical Park Dr, Fremont, NE 68025. The listed phone number is (402) 815-7120.
What is Carlos Giraldo Vanegas's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Carlos Giraldo Vanegas enrolled in Medicare?
Yes. Carlos Giraldo Vanegas 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 organization bills Medicare for Carlos Giraldo Vanegas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Giraldo Vanegas reassigns Medicare benefits to Physicians Clinic Inc (Omaha, NE). The 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 Carlos Giraldo Vanegas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carlos Giraldo Vanegas 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 and 1 other insurer list Carlos Giraldo Vanegas 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.
Is Carlos Giraldo Vanegas affiliated with any hospitals?
According to CMS data, Carlos Giraldo Vanegas is affiliated with Methodist Fremont Health.
When was this NPI record last updated?
The NPPES record for Carlos Giraldo Vanegas was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Dr. Carlos E Giraldo Vanegas, MD · NPI 1194096248
Internal Medicine physician in Fremont, Nebraska. Individual provider, active in the CMS NPPES registry since January 21, 2012.
## Identity
- **NPI:** 1194096248 (Entity type: Individual)
- **Enumerated:** January 21, 2012
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 28167 (Nebraska)
- **Sole proprietor:** No
## Practice location
- **Address:** 680 E FREMONT MEDICAL PARK DR, Fremont, NE 68025-2309
- **Phone:** (402) 815-7120 · **Fax:** (402) 721-5230
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Physicians Clinic Inc (NPI 1821049156, Omaha, NE), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** October 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1194096248) · Data from the CMS NPPES public registry.