Individual provider Active NPI

Larry E Siref, M.D.

  • Urology Physician
  • Omaha, NE
National Provider Identifier
1043219546
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
18671 Issued in NE
Practice address
7710 Mercy Rd
Suite 406
Omaha, NE 68124-2372
Phone
(402) 717-2500
Fax
(402) 717-2525
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 29568 IA
Specialist 174400000X 18671 NE
Urology Physician 208800000X MD-29568 IA
Urology Physician 208800000X 18671 NE Primary

Addresses

Primary practice location

7710 Mercy Rd
Suite 406
Omaha, NE 68124-2372

Mailing address

7261 Mercy Rd
Omaha, NE 68124-2311

Other practice location 1

1288 Valley View Dr
Council Bluffs, IA 51503-5245
Phone (402) 717-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 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
I20040525001706 IA Practitioner - Urology 3072594191 Reassigns benefits to 1 organization
I20100127000580 NE Practitioner - Urology 3072594191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Nebraska College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, shared by 2 NPIs, 951 clinicians

Practice addresses (Care Compare)

16909 Lakeside Hills CT
Omaha, NE 68130-4661

631 N 8TH St
Missouri Valley, IA 51555-1102
Phone (712) 642-2784

6901 N 72ND St
Omaha, NE 68122-1709

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

800 Mercy Dr
Council Bluffs, IA 51503-3128

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-29568IAMDUrology Physician
18671NEMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic CurrentSince Oct 21, 2013 Accepting new patients
Midwest Urology Associates, P.C. Urology Current Accepting new patients
Alegent Creighton Clinic CurrentSince Oct 1, 2013 Accepting new patients

Locations

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

1203 S Locust St
Glenwood, IA 51534
Phone (712) 527-3699

631 N 8th St
Mo Valley, IA 51555
Phone (712) 642-2045

300 Pershing Ave
Shenandoah, IA 51601
Phone (712) 246-1230

2771 Solution Ctr
Chicago, IL 60677

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

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

7261 Mercy Rd
Bldg First
Omaha, NE 68124

10170 Nicholas St
Omaha, NE 68114
Phone (402) 391-3800

7710 Mercy Rd
Ste 406
Omaha, NE 68124
Phone (402) 717-2500

7710 Mercy Rd
Ste 1000
Omaha, NE 68124
Phone (402) 717-2500

Networks

  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • CO HMO C-SNP
  • IA HMO
  • CO HMO D-SNP
  • IA HMO C-SNP
  • CO HMO

Interoperability endpoints

  • Direct secure messaging: lsiref41465@achce.catholichealth.net

Organizations & group practices 3

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 6

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1043219546",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 MERCY RD",
            "address_2": "SUITE 406",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242372",
            "telephone_number": "402-717-2500",
            "fax_number": "402-717-2525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1288 Valley View Dr",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515035245",
            "country_code": "US",
            "telephone_number": "402-717-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIREF",
        "first_name": "LARRY",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IA",
            "license": "29568",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NE",
            "license": "18671",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IA",
            "license": "MD-29568",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NE",
            "license": "18671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.