NPIMap

Organization Active NPI

Allergy, Asthma & Immunology Associates P.C.

  • Allergy & Immunology Physician
  • Omaha, NE
National Provider Identifier
1063471860
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
ALLERGY, ASTHMA & IMMUNOLOGY ASSOCIATES P.C.
Practice address
2808 S 80 Ave
Ste 210
Omaha, NE 68124-1563
Phone
(402) 391-1800
Fax
(402) 391-1563
NPI assigned
Mar 21, 2006
Reactivated
Oct 9, 2022
Last updated
Oct 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
Ms. Jennifer Kuehn
Title
Revenue Cycle Manager
Phone
(402) 391-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X Primary

Addresses

Primary practice location

2808 S 80 Ave
Ste 210
Omaha, NE 68124-1563

Mailing address

2808 S 80 Ave
Ste 210
Omaha, NE 68124-3253
Phone (402) 391-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040903000659 IA Part B Supplier - Clinic/Group Practice 4385610013 Receives reassigned benefits from 5 practitioners
Practice locations: Sioux City, IA; Harlan, IA; Council Bluffs, IA
O20050222000953 NE Part B Supplier - Clinic/Group Practice 4385610013 Receives reassigned benefits from 18 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: York, NE; Valentine, NE; Columbus, NE; Papillion, NE; Omaha, NE; North Platte, NE; Nebraska City, NE; Lincoln, NE…

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

3434 W Broadway
Council Bluffs, IA 51501
Phone (712) 325-0022

638 N Webb Rd
Grand Island, NE 68803
Phone (308) 675-3171

702 N Alpha St
Grand Island, NE 68803
Phone (308) 384-2101

1103 Buffalo Bnd
#797
Lexington, NE 68850
Phone (308) 324-6386

3901 Pine Lake Rd
Ste 405
Lincoln, NE 68516

600 N Cotner Blvd
Ste 208
Lincoln, NE 68505

801 William Ave
North Platte, NE 69101
Phone (308) 532-3330

2808 S 80th Ave
Ste 210
Omaha, NE 68124

401 E Gold Coast Rd
Ste 333
Papillion, NE 68046
Phone (402) 592-5140

Practitioners & affiliated clinicians

Practitioners 63

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1063471860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 S 80 AVE",
            "address_2": "STE 210",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243253",
            "telephone_number": "402-391-1800",
            "fax_number": "402-391-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 S 80 AVE",
            "address_2": "STE 210",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681241563",
            "telephone_number": "402-391-1800",
            "fax_number": "402-391-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY, ASTHMA & IMMUNOLOGY ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "deactivation_date": "2022-09-09",
        "reactivation_date": "2022-10-09",
        "status": "A",
        "authorized_official_last_name": "KUEHN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "402-391-1800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.