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DR. DANIEL D LYDIATT M.D.
NPI 1417913302
Surgery in Omaha, NE

Active since April 21, 2006PECOS Enrolled
8303 DODGE ST, OMAHA, NE 68114(402) 354-5048(402) 354-2585 Get Directions Write a Review

NPPES record last updated: December 13, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Daniel D Lydiatt M.d. NPPES

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

DR. DANIEL D LYDIATT M.D. (NPI 1417913302) is an individual surgery provider in Omaha, Nebraska, licensed in Nebraska (16395) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417913302
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. DANIEL D LYDIATTCredential: M.D.
Location Address8303 DODGE STOmaha, NE 68114-4108
Mailing AddressPo Box 10190Virginia Beach, VA 23450-0190 · (800) 477-5240 · Fax (757) 463-6572
Phone(402) 354-5048
Fax(402) 354-2585
Sole ProprietorNo
Enumeration DateApril 21, 2006
Last NPPES UpdateDecember 13, 2013
✔ NPI 1417913302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NE · 16395
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 16395 (NE)
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 16395 (NE)
Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X · License 16395 (NE)
8303 DODGE ST, Omaha, NE 68114
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Other Identifiers 5

Medicare PIN277208NE
Medicaid10025044400NE
Medicare UPINE62322NE
Medicaid1417913302IA
Medicare PINP00108221NE

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Daniel D Lydiatt M.d. 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 Daniel Lydiatt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Unmc Physicians
7.1 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68114 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
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
Most-billed visit code 99213
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 20

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

LEAH R. LIENEMANN R.N.
Nurse Practitioner
8303 DODGE ST
OMAHA, NE 68114
Douglas County (402) 354-4000
RUSSELL L COWLES III M.D.
Hospitalist
8303 DODGE ST
OMAHA, NE 68114
Douglas County (402) 354-2360
DR. ALAN T. RICHARDS M.D.
Surgery
8303 DODGE ST, SUITE # 304
OMAHA, NE 68114
Douglas County (402) 354-5048
MR. JOHN (KEVIN) KEELEY LMHP
Counselor (Professional)
8303 DODGE ST
OMAHA, NE 68114
Douglas County (402) 354-8350
SHANE K. KOHL MD
Pathology (Anatomic Pathology & Clinical Pathology)
8303 DODGE ST
OMAHA, NE 68114
Douglas County (402) 354-4540
KATERINA N. GOLDMAN PA-C
Physician Assistant (Medical)
8303 DODGE ST, SUITE # 304
OMAHA, NE 68114
Douglas County (402) 354-5048
DR. JILL SUSANNE NEITZEL PHARM.D.
Pharmacist
8303 DODGE ST, PHARMACY DEPARTMENT
OMAHA, NE 68114
Douglas County (402) 354-3176
JOSEPH MICHAEL EVANS M.D.
Hospitalist
8303 DODGE ST
OMAHA, NE 68114
Douglas County (402) 354-2360

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 Daniel Lydiatt's NPI number?

The NPI number for Daniel Lydiatt is 1417913302. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is Daniel Lydiatt located?

Daniel Lydiatt practices at 8303 Dodge St, Omaha, NE 68114. The listed phone number is (402) 354-5048.

What is Daniel Lydiatt's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Daniel Lydiatt enrolled in Medicare?

Yes. Daniel Lydiatt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Daniel Lydiatt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Lydiatt 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 Daniel Lydiatt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Daniel Lydiatt was last updated on December 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.