NPIMap

Organization Active NPI

BC Healthcare LLC

Doing business as Arthritis Knee Pain Clinic of Omaha

  • Interventional Pain Medicine Physician
  • Omaha, NE
National Provider Identifier
1003495359
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
BC HEALTHCARE LLC
Doing business as
Arthritis Knee Pain Clinic of Omaha
Practice address
3908 N 138TH St
Omaha, NE 68164-5009
Phone
(402) 315-4415
Fax
(402) 493-7909
NPI assigned
Apr 5, 2021
Last updated
May 30, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
BC HEALTHCARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robyn Renee Velasquez
Title
Administrative Assistant Credential
Phone
(805) 315-4415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

3908 N 138TH St
Omaha, NE 68164-5009

Mailing address

3908 N 138TH St
Omaha, NE 68164-5009
Phone (402) 315-4415

Other practice location 1

5400 S 56th St Ste 314
Lincoln, NE 68516-1889
Phone (531) 500-3259

Other names 1

  • ARTHRITIS KNEE PAIN CLINIC OF OMAHA Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BRBIRD20@HOTMAIL.COM Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210803003418 NE Part B Supplier - Clinic/Group Practice 6507260270 Receives reassigned benefits from 10 practitioners
Practice locations: Lincoln, NE; Omaha, NE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2251723BC Healthcare Dba Arthritis Knee Pain Clinic3908 N 138TH St, Omaha, NE 68164Certificate of waiverFeb 3, 2028

National Provider Directory

National Provider Directory
Part of
BC Healthcare LLC

Locations

5400 S 56th St
Lincoln, NE 68516

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1003495359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 N 138TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681645009",
            "telephone_number": "402-315-4415",
            "fax_number": "402-493-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 N 138TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681645009",
            "telephone_number": "402-315-4415",
            "fax_number": "402-493-7909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5400 S 56th St Ste 314",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685161889",
            "country_code": "US",
            "telephone_number": "531-500-3259",
            "fax_number": "402-493-7909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BC HEALTHCARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BC HEALTHCARE LLC",
        "enumeration_date": "2021-04-05",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "VELASQUEZ",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT CREDENTIAL",
        "authorized_official_telephone_number": "805-315-4415"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BRBIRD20@HOTMAIL.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HMDL",
            "address_1": "2055 N 156th St",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681166465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ARTHRITIS KNEE PAIN CLINIC OF OMAHA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.