Individual provider Active NPI

Elizabeth Marie Klawitter, D.P.M.

  • Podiatrist
  • Omaha, NE
National Provider Identifier
1043390578
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
280 Issued in NE
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

Updated by the provider on Feb 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10024973600MedicaidNE
02516OtherNEBCBS ID #
421572165OtherNEMIDLANDS CHOICE ID #
2700248OtherNEUHC ID #
5076470001OtherNEDMERC 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081028000511 NE Practitioner - Podiatry 9931267424 Reassigns benefits to 1 organization

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 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue13
Removal of nail tissue331
Removal or shaving of skin growth59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
280NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Larson Foot Clinic, P.C. Podiatrist PastSince Feb 12, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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

Verify at the official NPI Registry.