Khalid Bashir, M.D. – Nephrology Physician

Key facts

NPI: 1013021815
Entity type: Individual (NPI type 1)
Primary specialty: Nephrology Physician 207RN0300X
License: 23165 (NE)
Practice address: 7710 Mercy Rd Ste 426
Omaha, NE 68124-2323
Phone: (402) 343-8650
Fax: (402) 343-8545
NPI assigned: Aug 18, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Alegent Creighton Clinic Family Medicine Physician · Omaha, NE · NPI 1548287907

Medicare reassignment Care Compare group NPD NE
Alegent Creighton Clinic Family Medicine Physician · Council Bluffs, IA · NPI 1598811069

Medicare reassignment Care Compare group NPD IA · NEPHROLOGY
Alegent Creighton Clinic Internal Medicine Physician · Omaha, NE · NPI 1518227859

NPD NEPHROLOGY
Creighton University Allergy & Immunology (Internal Medicine) Physician · Omaha, NE · NPI 1295777225

NPD (past) NEPHROLOGY
Creighton University Physical Therapist · Omaha, NE · NPI 1780172304

NPD (past)

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Dialysis Clinic Inc End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Omaha, NE · NPI 1528581949

Care Compare affiliation Name & address match Dialysis facility
Dialysis Clinic Inc. End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Omaha, NE · NPI 1366475741

Care Compare affiliation Name & address match Dialysis facility
Renal Treatment Centers-Illinois Inc. End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Norfolk, NE · NPI 1659640522

Care Compare affiliation Name & address match Dialysis facility
Alegent Creighton Health General Acute Care Hospital · Omaha, NE · NPI 1649355132

Care Compare affiliation Hospital
Alegent Health Bergan Mercy Health System Psychiatric Hospital Unit · Omaha, NE · NPI 1396969499

Care Compare affiliation Hospital
Alegent Health Bergan Mercy Health System General Acute Care Hospital · Omaha, NE · NPI 1508941097

Care Compare affiliation Hospital
Alegent Health Immanuel Medical Center General Acute Care Hospital · Omaha, NE · NPI 1912085184

Care Compare affiliation Hospital
Faith Regional Health Services General Acute Care Hospital · Norfolk, NE · NPI 1285676544

Care Compare affiliation Hospital
Select Specialty Hospital Omaha Inc Long Term Care Hospital · Omaha, NE · NPI 1518967124

Care Compare affiliation Long-term care hospital
Alegent Health Bergan Mercy Health System General Acute Care Hospital · Council Bluffs, IA · NPI 1265517759

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nephrology
Education: Other, 1987
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Alegent Creighton Clinic (951 clinicians)

Practice addresses (Care Compare)

16901 Lakeside Hills CT
Omaha, NE 68130-2318
Phone (855) 524-4001

16909 Lakeside Hills CT
Omaha, NE 68130-4661

1870 No 75 St
Omaha, NE 68124-1700
Phone (402) 898-2702

6901 N 72ND St
Omaha, NE 68122-1709

7500 Mercy Rd
Omaha, NE 68124-2319
Phone (402) 398-5580

7710 Mercy Rd
Omaha, NE 68124-2323

800 Mercy Dr
Council Bluffs, IA 51503-3128

Hospital & facility affiliations

DaVita N.E. Nebraska Dialysis Dialysis facility · Norfolk, NE · CCN 282530
Dialysis Clinics, Inc - Omaha Dialysis facility · Omaha, NE · CCN 282504
DCI - Spring Street Dialysis facility · Omaha, NE · CCN 282536
CHI Health Bergan Mercy Hospital · Omaha, NE · CCN 280060
CHI Health Lakeside Hospital · Omaha, NE · CCN 280130
CHI Health Immanuel Hospital · Omaha, NE · CCN 280081
CHI Health Mercy Council Bluffs Hospital · Council Bluffs, IA · CCN 160028
Faith Health Hospital · Norfolk, NE · CCN 280125
Select Specialty Hospital - Omaha (Central Campus) Long-term care hospital · Omaha, NE · CCN 282001

Medicare participation

Medicare fee-for-service enrollment: Enrolled (2 enrollments) in NE, IA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20050303001078	NE	Practitioner - Nephrology	5991759789	Reassigns benefits to 1 organization
I20061228000078	IA	Practitioner - Nephrology	5991759789	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
36257	IA	MD	Nephrology Physician
23165	IA	MD	Urology Physician

Practice roles (5 of 13)

Organization	Specialty	Status	New patients
Alegent Creighton Clinic	Nephrology	Current since Sep 1, 2012	Accepting new patients
Alegent Creighton Clinic	Nephrology	Current	Accepting new patients
Alegent Creighton Clinic		Current since Sep 1, 2012	Accepting new patients
Creighton University	Nephrology	Past	Accepting new patients
Creighton University		Past	Accepting new patients

Locations

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

2020 1st Ave S
Denison, IA 51442
Phone (712) 263-1608

1213 Garfield Ave
Harlan, IA 51537
Phone (712) 755-4316

2771 Solution Ctr
Chicago, IL 60677

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

7710 Mercy Rd
Ste 308
Omaha, NE 68124
Phone (402) 391-9340

7710 Mercy Rd
Ste 426
Omaha, NE 68124
Phone (402) 343-8650

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

7710 Mercy Rd
Ste 500
Omaha, NE 68124
Phone (402) 343-8650

Networks

devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
IA HMO
IA HMO C-SNP
devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
CO HMO D-SNP
CO HMO

Interoperability endpoints

Direct secure messaging: kbashir45657@achce.catholichealth.net

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Nephrology Physician	207RN0300X	36257	IA
Nephrology Physician	207RN0300X	23165	NE	Yes

Addresses

Primary practice location

7710 Mercy Rd Ste 426
Omaha, NE 68124-2323

Mailing address

7261 Mercy Rd
Omaha, NE 68124-2311
Phone (402) 398-6255

Other identifiers

Identifier	Type	State	Issuer
098684	Other	NE	MEDICARE PTAN
41453	Other	IA	MEDICARE PTAN

Other providers in Omaha, NE

All providers in Omaha, NE · Nephrology Physician in Nebraska

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.