RYAN MULLANE DO
NPI 1265876114
Internal Medicine - Nephrology in Omaha, NE

NPI Status: Active since April 22, 2013

Contact Information

EMILE @ 42ND ST
OMAHA, NE
ZIP 68198
Phone: (402) 559-4015
Fax: (402) 559-8715

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  • Individual
  • Male
  • Internal Medicine
  • Nephrology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About RYAN MULLANE

This page provides the complete NPI Profile along with additional information for Ryan Mullane, an internist established in Omaha, Nebraska with a medical specialization in Internal Medicine, focusing in nephrology . The healthcare provider is registered in the NPI registry with number 1265876114 assigned on April 2013. The practitioner's primary taxonomy code is 207RN0300X with license number 1789 (NE). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1265876114
Provider Name
RYAN MULLANE DO
Gender
Male
Entity Type
Individual
Location Address
EMILE @ 42ND ST OMAHA, NE 68198
Location Phone
(402) 559-4015
Location Fax
(402) 559-8715
Mailing Address
988102 NEBRASKA MEDICAL CTR OMAHA, NE 68198
Is Sole Proprietor?
No
Enumeration Date
04-22-2013
Last Update Date
07-03-2018
Code Navigator

An internist like Ryan Mullane is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Nephrology

Taxonomy Code
207RN0300X
Type
Allopathic & Osteopathic Physicians
License No.
1789
License State
NE
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO
  • Elevate by Medica Bronze $0 Copay PCP Visits - EPO
  • Elevate by Medica Bronze Premier - EPO
  • Elevate by Medica Bronze Share - EPO
  • Elevate by Medica Expanded Bronze Standard - EPO
  • Elevate by Medica Gold $0 Copay PCP Visits - EPO
  • Elevate by Medica Gold Share - EPO
  • Elevate by Medica Gold Standard - EPO
  • Elevate by Medica Silver $0 Copay PCP Visits - EPO
  • Elevate by Medica Silver Share - EPO
  • Elevate by Medica Silver Standard - EPO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - EPO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - EPO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - EPO
  • Medica Individual Choice Gold Share - HMO
  • Bronze Classic - EPO
  • Bronze Classic | with Bryan Health - EPO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Classic Standard | with Bryan Health - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Bronze Elite + PCP Saver Plus | with Bryan Health - EPO
  • Bronze Simple Diabetes - EPO
  • Bronze Simple Diabetes | with Bryan Health - EPO
  • Gold Classic Standard - EPO
  • Gold Classic Standard | with Bryan Health - EPO
  • Gold Elite - EPO
  • Gold Elite | with Bryan Health - EPO
  • Secure - EPO
  • Silver Classic - EPO
  • Silver Classic Standard - EPO
  • Silver Classic Standard | with Bryan Health - EPO
  • Silver Simple Diabetes - EPO
  • Silver Simple Diabetes | with Bryan Health - EPO
  • Silver Simple PCP Saver - EPO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Standard (No Referrals) - EPO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Value ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Bronze Value+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
  • UHC Gold Standard (No Referrals) - EPO
  • UHC Gold Standard (No Referrals) - HMO
  • UHC Gold Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - EPO
  • UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Silver Standard (No Referrals) - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Ryan Mullane is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Ryan Mullane is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9133414337

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20180530001369, I20190501000883

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Dialysis procedure including 1 evaluation

Dialysis is a treatment that filters and purifies the blood when your kidneys can't do their job. The procedure involves circulating your blood through a machine that removes waste products. An evaluation is done beforehand to assess your health and determine the best approach for your treatment.

This service was performed 87 times for 28 patients

Dialysis procedure requiring repeat evaluation

Dialysis is a treatment that filters waste and excess water from your blood, mimicking the function of healthy kidneys. Repeat evaluations are necessary to monitor your body's response to the treatment, ensuring it's working effectively and adjusting as needed for optimal health.

This service was performed 42 times for 18 patients

Dialysis services, 1 physician visit per month (20 years or older)

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can’t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.

This service was performed 11 times for 11 patients

Dialysis services, 2-3 physician visits per month (20 years or older)

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

This service was performed 71 times for 26 patients

Dialysis services, 4 or more physician visits per month (20 years or older)

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

This service was performed 69 times for 17 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 13 times for 11 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 168 times for 130 patients

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 29 times for 28 patients

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 272 times for 122 patients

Hemodialysis procedure with physician evaluation

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

This service was performed 195 times for 102 patients

Initial hospital inpatient care per day, typically 50 minutes

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

This service was performed 77 times for 74 patients

Initial hospital inpatient care per day, typically 70 minutes

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

This service was performed 39 times for 39 patients

New patient office or other outpatient visit, 60-74 minutes

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

This service was performed 44 times for 44 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $30.33 for a new patient copayment and $23.38 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 68198 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $121.35
  • Minimum New Patient Price $52.69
  • Maximum New Patient Price $160.21
  • Average New Patient Copayment $30.33
  • Minimum New Patient Copayment $13.17
  • Maximum New Patient Copayment $40.05

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $93.55
  • Minimum Established Patient Price $16.9
  • Maximum Established Patient Price $131.25
  • Average Established Patient Copayment $23.38
  • Minimum Established Patient Copayment $4.22
  • Maximum Established Patient Copayment $32.81

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Ryan Mullane is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
THE NEBRASKA MEDICAL CENTER987400 NEBRASKA MEDICAL CENTER
OMAHA, NE 68198
(402) 552-2040Acute Care Hospitals
BELLEVUE MEDICAL CENTER, LLC2500 BELLEVUE MEDICAL CENTER DR
BELLEVUE, NE 68123
(402) 763-3600Acute Care Hospitals

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1265876114, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
1
Doubled → 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 8 → 16 → 7 6 → 12 → 3 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 2 + 5 + 1 + 6 + 7 + 1 + 2 + 1 + 2 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1265876114.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Clinical Medical Laboratory
EMILE @ 42ND ST
OMAHA, NE 68198
Pediatrics (Neonatal-Perinatal Medicine)
EMILE @ 42ND ST
OMAHA, NE 68198
Physician Assistant
EMILE @ 42ND ST
OMAHA, NE 68198
Internal Medicine (Interventional Cardiology)
EMILE @ 42ND ST
OMAHA, NE 68198
Nurse Anesthetist, Certified Registered
EMILE @ 42ND ST
OMAHA, NE 68198
Allergy & Immunology
EMILE @ 42ND ST
OMAHA, NE 68198
Thoracic Surgery (Cardiothoracic Vascular Surgery)
EMILE @ 42ND ST
OMAHA, NE 68198
Nurse Anesthetist, Certified Registered
EMILE @ 42ND ST
OMAHA, NE 68198
Nurse Practitioner
EMILE @ 42ND ST
OMAHA, NE 68198
Anesthesiology
EMILE @ 42ND ST
OMAHA, NE 68198
Internal Medicine
EMILE @ 42ND ST
OMAHA, NE 68198
Physician Assistant
EMILE @ 42ND ST
OMAHA, NE 68198
Physician Assistant
EMILE @ 42ND ST
OMAHA, NE 68198
Internal Medicine (Clinical Cardiac Electrophysiology)
EMILE @ 42ND ST
OMAHA, NE 68198
Internal Medicine (Endocrinology, Diabetes & Metabolism)
EMILE @ 42ND ST
OMAHA, NE 68198
Nurse Practitioner
EMILE @ 42ND ST
OMAHA, NE 68198
Radiology (Diagnostic Radiology)
EMILE @ 42ND ST
OMAHA, NE 68198
Internal Medicine (Endocrinology, Diabetes & Metabolism)
EMILE @ 42ND ST
OMAHA, NE 68198
Internal Medicine (Cardiovascular Disease)
EMILE @ 42ND ST
OMAHA, NE 68198
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
EMILE @ 42ND ST
OMAHA, NE 68198

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265876114, enumerated as an "individual" on April 22, 2013.

The provider is located at EMILE @ 42ND ST OMAHA, NE 68198 and the phone number is (402) 559-4015.

Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Nebraska, Blue Cross. Please consult your insurance carrier or call the provider to verify.

Ryan Mullane is affiliated with: THE NEBRASKA MEDICAL CENTER and BELLEVUE MEDICAL CENTER, LLC.