Active NPI
Elizabeth Marie Klawitter, D.P.M.
- Podiatrist
- Omaha, NE
National Provider Identifier
1043390578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 280
- Practice address
- 11071 W Maple Rd
Omaha, NE 68164-2604 - Phone
- (402) 315-4344
- Fax
- (402) 315-4343
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 280 | NE | Primary |
Addresses
Primary practice location
11071 W Maple Rd
Omaha, NE 68164-2604
Mailing address
11071 W Maple Rd
Omaha, NE 68164-2604
Phone (402) 315-4344
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10024973600 | Medicaid | NE | |
| 02516 | Other | NE | BCBS ID # |
| 421572165 | Other | NE | MIDLANDS CHOICE ID # |
| 2700248 | Other | NE | UHC ID # |
| 5076470001 | Other | NE | DMERC ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2821 S 87TH Ave
Omaha, NE 68124-3046
Phone (402) 315-4344
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 13 |
| Removal of nail tissue | 331 |
| Removal or shaving of skin growth | 59 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 280 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Larson Foot Clinic, P.C. | Podiatrist | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JGBJBD/Endpoint/JGBJBD
Organizations & group practices 2
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.
-
- Podiatric Clinic/Center
- Omaha, NE
- NPI 1770739773
-
- Podiatrist
- Omaha, NE
- NPI 1053522888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298505600000",
"number": "1043390578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11071 W MAPLE RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681642604",
"telephone_number": "402-315-4344",
"fax_number": "402-315-4343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11071 W MAPLE RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681642604",
"telephone_number": "402-315-4344",
"fax_number": "402-315-4343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLAWITTER",
"first_name": "ELIZABETH",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2011-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NE",
"license": "280",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10024973600",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ID #",
"identifier": "02516",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE ID #",
"identifier": "421572165",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC ID #",
"identifier": "2700248",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC ID #",
"identifier": "5076470001",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
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 Feb 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.