Mitchell M. Pitlick, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

35674 Issued in NE

Practice address

2808 South 80TH Avenue
Suite 210
Omaha, NE 68124-3253

Phone

(402) 391-1800

Fax

(402) 391-1563

NPI assigned

Mar 26, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Allergy/Immunology

Education

University of Iowa, RJ & L Carver College of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allergy Asthma and Immunology Associates PCGroup PAC ID 4385610013, shared by 2 NPIs, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Fremont Health Hospital, Fremont, NE, CCN 280077
• The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040
• CHI Health Bergan Mercy Hospital, Omaha, NE, CCN 280060
• Pender Community Hospital Hospital, Pender, NE, CCN 281349
• The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mpitlick139465@ehrdirect.mayoclinicmsg.org

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.

• Allergy, Asthma & Immunology Associates P.C.

  • Allergy & Immunology Physician
  • Omaha, NE
  • NPI 1063471860

  IA

  Medicare reassignment NPD
• Allergy, Asthma & Immunology Associates, P.C.

  • Allergy & Immunology Physician
  • Lincoln, NE
  • NPI 1831151232
  Medicare reassignment NPD
• Ear Nose and Throat Consultants and Hearing Services PLC

  • Otolaryngology Physician
  • Dakota Dunes, SD
  • NPI 1114141546
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alegent Health Bergan Mercy Health System

  • Psychiatric Hospital Unit
  • Omaha, NE
  • NPI 1396969499
  Care Compare affiliation
• Alegent Health Bergan Mercy Health System

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1508941097
  Care Compare affiliation
• Methodist Fremont Health

  • Rural Acute Care Hospital
  • Fremont, NE
  • NPI 1033698543
  Care Compare affiliation
• Methodist Fremont Health

  • Rural Acute Care Hospital
  • Fremont, NE
  • NPI 1376498543
  Care Compare affiliation
• Nebraska Methodist Hospital

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1427147883
  Care Compare affiliation
• Pender Community Hospital District

  • Critical Access Hospital
  • Pender, NE
  • NPI 1578627196
  Care Compare affiliation
• The Nebraska Medical Center

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1356307581
  Care Compare affiliation

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

{
    "created_epoch": "1490486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1073044574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 SOUTH 80TH AVENUE",
            "address_2": "SUITE 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 SOUTH 80TH AVENUE",
            "address_2": "SUITE 210",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243253",
            "telephone_number": "402-391-1800",
            "fax_number": "402-391-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITLICK",
        "first_name": "MITCHELL",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-26",
        "last_updated": "2024-03-28",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "64170",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "35674",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NE",
            "license": "35674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anton F Piskac, M.D.
• Ellen Margaret Piskac, RN,EDD
• Nathan Daniel Piskorski
• Awa Pissinaba
• Tyler S Pistone, MD
• Marcia Pitlor, CPC LMHP
• Dick Pitner, M.D.
• Sheryl L Pitner, MD
• Natalie Margaret Pitsch, PT, DPT
• Andrea Pittman

• Allergy & Immunology Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Allergy & Immunology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.

Verify at the official NPI Registry.