DERRICK ANTONIAK M.D.
NPI 1972864114
Internal Medicine - Gastroenterology in Omaha, NE

Active since June 05, 2012PECOS EnrolledAccepts Medicare Assignment
EMILE @ 42ND ST, OMAHA, NE 68198(402) 552-6731(402) 552-6730 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 31, 2026, Mar 17, 2018, Nov 10, 2017 (3 updates tracked since 2017).

About Derrick Antoniak M.d. NPPES

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

DERRICK ANTONIAK M.D. (NPI 1972864114) is an individual gastroenterology provider in Omaha, Nebraska, licensed in Nebraska (27807) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with The Nebraska Medical Center, and maintains a secondary practice location in Omaha.

NPPES Registry Identity

NPI1972864114
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDERRICK ANTONIAKCredential: M.D.
Location AddressEMILE @ 42ND STOmaha, NE 68198-3003
Mailing Address988102 Nebraska Medical CtrOmaha, NE 68198-8102
Fax(402) 552-6730
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 5, 2012
Last NPPES UpdateMarch 31, 20263 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
NPI 1972864114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NE · 27807
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 6692 (NE), 27807 (NE)
EMILE @ 42ND ST, Omaha, NE 68198

Secondary Practice Location 1

Location 1139 S 40th StOmaha, NE 68131-3003 · Phone (402) 595-3939 · Fax (402) 595-3898

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Derrick Antoniak M.d. 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.

PECOS PAC ID6103040167
PECOS Enrollment IDI20171024003401
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280013
Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68198 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
Most-billed visit code 99214
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.

Internal Medicine (Infectious Disease)
EMILE @ 42ND ST
OMAHA, NE 68198
Radiology (Vascular & Interventional Radiology)
EMILE @ 42ND ST
OMAHA, NE 68198
Surgery (Surgical Critical Care)
EMILE @ 42ND ST
OMAHA, NE 68198
Pathology (Anatomic Pathology & Clinical Pathology)
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 Practitioner
EMILE @ 42ND ST
OMAHA, NE 68198
Nurse Practitioner (Family)
EMILE @ 42ND ST
OMAHA, NE 68198

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 Derrick Antoniak's NPI number?

The NPI number for Derrick Antoniak is 1972864114. It was assigned to this individual provider in the NPPES registry on June 5, 2012.

Where is Derrick Antoniak located?

Derrick Antoniak practices at Emile @ 42nd St, Omaha, NE 68198. The listed phone number is (402) 552-6731.

What is Derrick Antoniak's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Derrick Antoniak enrolled in Medicare?

Yes. Derrick Antoniak 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.

What insurance does Derrick Antoniak accept?

Health plans from Medica list Derrick Antoniak 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 Derrick Antoniak affiliated with any hospitals?

According to CMS data, Derrick Antoniak is affiliated with The Nebraska Medical Center.

When was this NPI record last updated?

The NPPES record for Derrick Antoniak was last updated on March 31, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.