MARTIN M MANCUSO MD PC
NPI 1326233545
Internal Medicine in Omaha, NE

Active since September 11, 2007
11704 W CENTER RD STE 210, OMAHA, NE 68144(402) 334-3377(402) 691-9922 Get Directions Write a Review

NPPES record last updated: August 7, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Martin M Mancuso Md Pc NPPES

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

MARTIN M MANCUSO MD PC (NPI 1326233545) is a healthcare organization registered as an internal medicine in Omaha, Nebraska and active in the NPI registry since September 2007. The organization lists Mary Derouchey, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1326233545
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMARTIN M MANCUSO MD PC
Location Address11704 W CENTER RD STE 210Omaha, NE 68144-4327
Mailing Address11704 W Center Rd Ste 210Omaha, NE 68144-4327 · (402) 334-3377 · Fax (402) 691-9922
Fax(402) 691-9922
Organization SubpartNo
Authorized OfficialMary DeroucheyPractice Manager · (402) 330-0444
Enumeration DateSeptember 11, 2007
Last NPPES UpdateAugust 7, 2008
NPI 1326233545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NE · 14017
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

11704 W CENTER RD STE 210, Omaha, NE 68144

Other Identifiers 5

Medicare UPIND92381
Medicare PIN900041
Other828013494NE · Travelers Rr Medicare
Medicaid0903674IA
Medicaid=========00NE

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

Other Providers at the Same Location NPPES 4

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

Internal Medicine
11704 W CENTER RD STE 210
OMAHA, NE 68144
Specialist
11704 W CENTER RD STE 210
OMAHA, NE 68144
Internal Medicine
11704 W CENTER RD STE 210
OMAHA, NE 68144
Internal Medicine
11704 W CENTER RD STE 210
OMAHA, NE 68144

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 Martin M Mancuso MD PC's NPI number?

The NPI number for Martin M Mancuso MD PC is 1326233545. It was assigned to this organization in the NPPES registry on September 11, 2007.

Where is Martin M Mancuso MD PC located?

Martin M Mancuso MD PC is located at 11704 W Center Rd Ste 210, Omaha, NE 68144. The listed phone number is (402) 334-3377.

What is Martin M Mancuso MD PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Martin M Mancuso MD PC was last updated on August 7, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.