Individual provider Active NPI

Derrick D Eichele, MD

  • Gastroenterology Physician
  • Omaha, NE
National Provider Identifier
1023304607
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
27498 Issued in NE
Practice address
8901 Indian Hills Dr
Ste 200
Omaha, NE 68114-4032
Phone
(402) 397-7057
Fax
(402) 505-4738
NPI assigned
Jun 22, 2011
Last updated
Jun 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 6535 NE
Internal Medicine Physician 207R00000X 27498 NE
Gastroenterology Physician 207RG0100X 27498 NE Primary

Addresses

Primary practice location

8901 Indian Hills Dr
Ste 200
Omaha, NE 68114-4032

Mailing address

8901 Indian Hills Dr
Ste 200
Omaha, NE 68114-4032
Phone (402) 397-7057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140905001125 NE Practitioner - GastroenterologyPractitioner - Internal Medicine 2668690587 Reassigns benefits to 4 organizations
I20231018001093 IA Practitioner - Gastroenterology 2668690587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of North Dakota School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Gastrointestinal Associates PCGroup PAC ID 3779575766, 54 clinicians
Nemaha County HospitalGroup PAC ID 6204746480, 12 clinicians
Methodist Fremont HealthGroup PAC ID 7911258520, 89 clinicians

Practice addresses (Care Compare)

16901 Lakeside Hills CT
Omaha, NE 68130-2318
Phone (402) 717-8000

17001 Lakeside Hills PLZ
Omaha, NE 68130-4670

2022 13TH St
Auburn, NE 68305-1799

2500 Bellevue Medical Ctr Dr
Bellevue, NE 68123-1591
Phone (402) 763-3600

450 E 23Rd St
Fremont, NE 68025-2387
Phone (402) 721-1610

808 E Pierce St
Suite 301
Council Bluffs, IA 51503-4603
Phone (712) 396-2997

8303 Dodge St
Omaha, NE 68114-4108
Phone (402) 354-4000

8901 Indian Hills Dr
Omaha, NE 68114-4032

933 E Pierce St
Council Bluffs, IA 51503-4626
Phone (712) 396-6000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy125
Upper gastrointestinal (GI) endoscopy for acid reflux104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6535NEMDGeneral Practice Dentistry
27498NEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Gastrointestinal Associates PC Gastroenterology CurrentSince Nov 1, 2023 Accepting new patients
Methodist Fremont Health Internal Medicine CurrentSince May 4, 2024 Accepting new patients
Nemaha County Hospital CurrentSince Dec 1, 2024 Accepting new patients
Methodist Fremont Health Past Accepting new patients
Nemaha County Hospital Past Accepting new patients
Jennie Edmundson Memorial Hospital Past Accepting new patients

Locations

808 E Pierce St
Ste 301
Council Bluffs, IA 51503
Phone (712) 396-2997

933 E Pierce St
Council Bluffs, IA 51503
Phone (712) 328-6000

2022 13th St
Auburn, NE 68305
Phone (402) 274-4366

450 E 23rd St
Fremont, NE 68025
Phone (402) 721-1610

207 S Engdahl Ave
Oakland, NE 68045
Phone (402) 685-5683

17001 Lakeside Hills Plz
Ste 200
Omaha, NE 68130
Phone (402) 885-8700

8901 Indian Hills Dr
Ste 200
Omaha, NE 68114
Phone (402) 397-7057

Networks

  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
  • IA HMO C-SNP
  • CO HMO
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • CO HMO D-SNP
  • IA HMO

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/nemaha-659e4e0f

Organizations & group practices 7

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 5

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": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1023304607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 INDIAN HILLS DR",
            "address_2": "STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144032",
            "telephone_number": "402-397-7057",
            "fax_number": "402-505-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 INDIAN HILLS DR",
            "address_2": "STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144032",
            "telephone_number": "402-397-7057",
            "fax_number": "402-505-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHELE",
        "first_name": "DERRICK",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-22",
        "last_updated": "2024-06-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "6535",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "27498",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NE",
            "license": "27498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.