Active NPI
Matthew Schafer
- Emergency Medicine Physician
- Omaha, NE
National Provider Identifier
1063828689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 30031
- Practice address
- 987400 Nebraska Medical Ctr
Omaha, NE 68198-1150 - Phone
- (402) 559-6637
- Fax
- (402) 559-8333
- NPI assigned
- Jul 2, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 7308 | NE | |
| Emergency Medicine Physician | 207P00000X | 30031 | NE | Primary |
Addresses
Primary practice location
987400 Nebraska Medical Ctr
Omaha, NE 68198-1150
Mailing address
988102 Nebraska Medical Center
Omaha, NE 68198-8102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Avera Queen of Peace
Practice addresses (Care Compare)
525 N Foster St
Mitchell, SD 57301-2966
Phone (605) 995-2234
Hospital & facility affiliations
- Avera Queen of Peace
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7308 | NE | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera Queen of Peace | Current | Accepting new patients | |
| Avera Queen of Peace | Current | Accepting new patients | |
| Avera Queen of Peace | Current | Accepting new patients | |
| Avera Queen of Peace | Current | Accepting new patients |
Locations
525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000
Organizations & group practices 4
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.
-
- Hospitalist Physician
- Mitchell, SD
- NPI 1205359031
-
- Critical Access Hospital
- Mitchell, SD
- NPI 1992466635
-
- Critical Access Hospital
- Wessington Springs, SD
- NPI 1316942204
-
- Specialist
- Mitchell, SD
- NPI 1699972422
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Mitchell, SD
- NPI 1992466635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495756800000",
"number": "1063828689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "988102 NEBRASKA MEDICAL CENTER",
"city": "OMAHA",
"state": "NE",
"postal_code": "681988102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "987400 NEBRASKA MEDICAL CTR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681981150",
"telephone_number": "402-559-6637",
"fax_number": "402-559-8333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAFER",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-02",
"last_updated": "2017-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NE",
"license": "7308",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NE",
"license": "30031",
"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 May 26, 2017; 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.