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VAISHALI SUBHASH PHATAK PHD
NPI 1306965769
Clinical Neuropsychologist in Omaha, NE

Active since March 28, 2007PECOS Enrolled
4242 FARNAM ST STE 550, OMAHA, NE 68131(402) 559-8600(402) 559-5010 Get Directions Write a Review

NPPES record last updated: October 11, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Vaishali Subhash Phatak Phd NPPES

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

VAISHALI SUBHASH PHATAK PHD (NPI 1306965769) is an individual clinical neuropsychologist in Omaha, Nebraska, licensed in Nebraska (939) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1306965769
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameVAISHALI SUBHASH PHATAKCredential: PHD
Location Address4242 FARNAM ST STE 550Omaha, NE 68131-2813
Mailing Address988102 Nebraska Medical CtrOmaha, NE 68198-8102
Phone(402) 559-8600
Fax(402) 559-5010
Sole ProprietorNo
Enumeration DateMarch 28, 2007
Last NPPES UpdateOctober 11, 2017
✔ NPI 1306965769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in NE · 939
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologistTaxonomy 103T00000X · License 939 (NE)
4242 FARNAM ST STE 550, Omaha, NE 68131
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Secondary Practice Location 1

Location 1325 Ninth AvenueSeattle, WA 98104-2499 · Phone (206) 744-3576

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 (PECOS)

Vaishali Subhash Phatak Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Vaishali Phatak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Unmc Physicians
10 mi
Multi-Specialty
988102 NEBRASKA MEDICAL CTR
Omaha, NE 68198
  • Reassigned Medicare billing, Nebraska enrollment
  • 2,154 clinicians in this Medicare group
NPI 1417912114 (402) 552-3739

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

Other Providers at the Same Location NPPES 5

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

BRADLEY WAYNE NIELSEN PA-C
Physician Assistant
4242 FARNAM ST STE 550
OMAHA, NE 68131
Douglas County (402) 836-9900
DR. BENJAMIN HOWARD AUERBACH DO
Physical Medicine & Rehabilitation
4242 FARNAM ST STE 550
OMAHA, NE 68131
Douglas County (402) 559-8600
MR. ARNETT KLUGH III M.D.
Neurological Surgery
4242 FARNAM ST STE 550
OMAHA, NE 68131
Douglas County (402) 836-9900
JUSTIN YAODAR CHOI M.D.
Pain Medicine (Pain Medicine)
4242 FARNAM ST STE 550
OMAHA, NE 68131
Douglas County (402) 559-8600
DR. MICHELE AIZENBERG M.D.
Neurological Surgery
4242 FARNAM ST STE 550
OMAHA, NE 68131
Douglas County (402) 559-8600

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 Vaishali Phatak's NPI number?

The NPI number for Vaishali Phatak is 1306965769. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Vaishali Phatak located?

Vaishali Phatak practices at 4242 Farnam St Ste 550, Omaha, NE 68131. The listed phone number is (402) 559-8600.

What is Vaishali Phatak's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Vaishali Phatak enrolled in Medicare?

Yes. Vaishali Phatak is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Vaishali Phatak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vaishali Phatak reassigns Medicare benefits to Unmc Physicians (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 Vaishali Phatak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vaishali Phatak 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 2 other insurers list Vaishali Phatak 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 Vaishali Phatak was last updated on October 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.