NPIMap

Individual provider Active NPI

Jessica Aloma Fernandes, M.D.

  • Hospitalist Physician
  • Omaha, NE
National Provider Identifier
1013122449
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
25220 Issued in NE
Practice address
601 N 30TH St
Suite 1609
Omaha, NE 68131-2137
Phone
(402) 449-4000
NPI assigned
May 11, 2007
Last updated
Apr 4, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD-39254 IA
Hospitalist Physician 208M00000X 25220 NE Primary

Addresses

Primary practice location

601 N 30TH St
Suite 1609
Omaha, NE 68131-2137

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100715000082 NE Practitioner - Internal Medicine 0648302406 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Creighton University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madonna Rehabilitation HospitalGroup PAC ID 0446164081, 92 clinicians

Practice addresses (Care Compare)

5401 S St
Lincoln, NE 68506-2150
Phone (402) 489-7102

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-39254IAMDInternal Medicine Physician
25220NEMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Madonna Rehabilitation Hospital CurrentSince Jul 1, 2017 Accepting new patients
Madonna Rehabilitation Hospital Current Accepting new patients
Kakish MD PC CurrentSince Jan 17, 2017 Accepting new patients
Madonna Rehabilitation Hospital Past Accepting new patients

Locations

5401 South St
Lincoln, NE 68506
Phone (402) 413-3000

11711 Arbor St
Ste 240
Omaha, NE 68144
Phone (308) 962-0146

14440 F St
Ste 121
Omaha, NE 68137
Phone (402) 933-4450

17030 Lakeside Hills Plz
Ste 130
Omaha, NE 68130
Phone (402) 758-5150

17500 Burke St
Omaha, NE 68118
Phone (402) 401-3000

7337 Hickory St
Omaha, NE 68124
Phone (402) 391-3000

Interoperability endpoints

  • Direct secure messaging: jessica.fernandes@mrh.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1013122449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 MERCY RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242311",
            "telephone_number": "402-398-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N 30TH ST",
            "address_2": "SUITE 1609",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312137",
            "telephone_number": "402-449-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDES",
        "first_name": "JESSICA",
        "middle_name": "ALOMA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "MD-39254",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NE",
            "license": "25220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.