Individual provider Active NPI

Mary Dankof, MD

  • Internal Medicine Physician
  • Papillion, NE
National Provider Identifier
1083717201
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19720 Issued in NE
Practice address
11111 S 84TH St
Papillion, NE 68046-4122
Phone
(402) 593-3131
Fax
(402) 593-3117
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19720 NE Primary
Internal Medicine Physician 207R00000X MD-42551 IA

Addresses

Primary practice location

11111 S 84TH St
Papillion, NE 68046-4122

Mailing address

7261 Mercy Rd
Omaha, NE 68124-2311
Phone (402) 398-6255

Other identifiers 1

IdentifierTypeStateIssuer
280594OtherNEMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250702000695 NE Practitioner - Internal Medicine 6002820107 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Value Based Long Term Care B PC 28 clinicians
Nebraska House Call Physicians PC 23 clinicians

Practice addresses (Care Compare)

3900 Pine Lake Rd
Suite 5
Lincoln, NE 68516-5489
Phone (402) 730-6870

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-42551IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Value Based Long Term Care B PC Internal Medicine CurrentSince Jun 8, 2025 Accepting new patients
Nebraska House Call Physicians, P.C. Internal Medicine CurrentSince May 24, 2025 Accepting new patients

Organizations & group practices 2

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1083717201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 MERCY RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242311",
            "telephone_number": "402-398-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 S 84TH ST",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464122",
            "telephone_number": "402-593-3131",
            "fax_number": "402-593-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANKOF",
        "first_name": "MARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "19720",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "MD-42551",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "280594",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

Verify at the official NPI Registry.