Individual provider Active NPI

Michael M Dehning, MD

  • Cardiovascular Disease Physician
  • Omaha, NE
National Provider Identifier
1063473056
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
16288 Issued in NE
Practice address
1120 N 103Rd PLZ
Suite 100
Omaha, NE 68114-1114
Phone
(402) 391-5055
Fax
(402) 391-5053
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 16288 NE Primary

Addresses

Primary practice location

1120 N 103Rd PLZ
Suite 100
Omaha, NE 68114-1114

Mailing address

PO Box 3755
Omaha, NE 68103-0755
Phone (402) 354-2100

Other identifiers 2

IdentifierTypeStateIssuer
1063473056MedicaidIA
100264481-00MedicaidNE

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
I20031208000559 NE Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4082510540 Reassigns benefits to 2 organizations
I20040225000063 IA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4082510540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Nebraska College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Clinic IncGroup PAC ID 4880506062, 557 clinicians

Practice addresses (Care Compare)

1 Edmundson PL
306 Methodist Physicians Clinic Heart Care
Council Bluffs, IA 51503-4620
Phone (712) 396-7787

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25409IAMDPharmacist
16288NEMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Clinic Inc CurrentSince Dec 31, 2014 Accepting new patients
Nebraska Methodist Hospital Current Accepting new patients
Nebraska Methodist Hospital Cardiovascular Disease CurrentSince Jan 16, 2010 Accepting new patients
Iowa Heart Center PC Cardiovascular Disease PastSince Feb 13, 2023 Accepting new patients
Alegent Creighton Health Past Accepting new patients

Locations

1 Edmundson Pl
Ste 310
Council Bluffs, IA 51503
Phone (712) 328-1801

1 Edmundson Pl
Council Bluffs, IA 51503
Phone (712) 396-4000

1 Edmundson Pl
Ste 306
Council Bluffs, IA 51503
Phone (712) 396-7787

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

810 N 22nd St
Blair, NE 68008
Phone (402) 426-1116

707 N 190th Plz
Elkhorn, NE 68022
Phone (402) 354-4000

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

426 E 22nd St
Ste 100
Fremont, NE 68025
Phone (402) 727-7796

6901 N 72nd St
Ste 3300N
Omaha, NE 68122
Phone (402) 572-3300

8303 Dodge St
Ste LL6
Omaha, NE 68114
Phone (402) 354-4104

825 S 169th St
Fl 3
Omaha, NE 68118
Phone (402) 354-5451

208 S 26th Ave
Omaha, NE 68131
Phone (402) 354-3198

1120 N 103rd Plz
Ste 100
Omaha, NE 68114
Phone (402) 391-5055

10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405

6901 N 72nd St
Omaha, NE 68122
Phone (402) 572-2121

825 S 169th St
Omaha, NE 68118
Phone (402) 354-3370

Interoperability endpoints

  • Direct secure messaging: mdehning269141@uihcdirect.org
  • Direct secure messaging: michael.dehning@direct.nmhs.org

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434067200000",
    "number": "1063473056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3755",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681030755",
            "telephone_number": "402-354-2100",
            "fax_number": "402-354-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N 103RD PLZ",
            "address_2": "SUITE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681141114",
            "telephone_number": "402-391-5055",
            "fax_number": "402-391-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHNING",
        "first_name": "MICHAEL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2015-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NE",
            "license": "16288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063473056",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100264481-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.