NPIMap

Individual provider Active NPI

Chad A Shuff, DO

  • Emergency Medicine Physician
  • Omaha, NE
National Provider Identifier
1083687396
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
396 Issued in NE
Practice address
6901 N 72ND St
Omaha, NE 68122-1709
Phone
(402) 572-2225
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 3609 IA
Emergency Medicine Physician 207P00000X 396 NE Primary

Addresses

Primary practice location

6901 N 72ND St
Omaha, NE 68122-1709

Mailing address

PO Box 31058
Omaha, NE 68131-0058
Phone (866) 898-7142

Other identifiers 2

IdentifierTypeStateIssuer
30189OtherBCBS
47037660412MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050516000544 NE Practitioner - Emergency MedicinePractitioner - Pathology 8325020142 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3609IAMDEmergency Medicine Physician
396NEMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Clinicians Associates, LLC CurrentSince Oct 5, 2004 Accepting new patients
Immediate Health Associates Emergency Medicine Past Accepting new patients
Marion General Hospital Foundation, Inc. Emergency Medicine Past Accepting new patients
Nebraska Emergency Physicians PC Emergency Medicine Past Accepting new patients
Alegent Creighton Health Emergency Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Epmg of Ohio Inc P a Emergency Medicine PastSince Aug 3, 2025 Accepting new patients
Marion Physician Billing LLC Emergency Medicine Past Accepting new patients
New Century Physicians of Iowa PC Emergency Medicine Past Accepting new patients
Marysville Emergency Physicians Inc. Emergency Medicine Past Accepting new patients

Locations

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

Organizations & group practices 10

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1083687396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31058",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681310058",
            "telephone_number": "866-898-7142",
            "fax_number": "616-975-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 N 72ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681221709",
            "telephone_number": "402-572-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUFF",
        "first_name": "CHAD",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "3609",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NE",
            "license": "396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "30189",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47037660412",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.