Active NPI
Roger Hiro Kobayashi, M.D.
- Allergy & Immunology Physician
- Omaha, NE
National Provider Identifier
1093707754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 15260
- Practice address
- 2808 S 80 Ave
Ste 210
Omaha, NE 68124-3253 - Phone
- (402) 391-1800
- Fax
- (402) 391-1563
- NPI assigned
- Aug 18, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 15260 | NE | Primary |
Addresses
Primary practice location
2808 S 80 Ave
Ste 210
Omaha, NE 68124-3253
Mailing address
2808 S 80 Ave
Ste 210
Omaha, NE 68124-3253
Phone (402) 391-1800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47060801514 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15260 | NE | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boone County Health Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rural Health Clinic/Center
- Spalding, NE
- NPI 1497789812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309392000000",
"number": "1093707754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2808 S 80 AVE",
"address_2": "STE 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 S 80 AVE",
"address_2": "STE 210",
"city": "OMAHA",
"state": "NE",
"postal_code": "681243253",
"telephone_number": "402-391-1800",
"fax_number": "402-391-1563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOBAYASHI",
"first_name": "ROGER",
"middle_name": "HIRO",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-18",
"last_updated": "2011-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "NE",
"license": "15260",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47060801514",
"state": "NE"
}
],
"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 Jun 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.