Individual provider Active NPI

Deepthi Samindla, MBBS

  • Family Medicine Physician
  • Omaha, NE
National Provider Identifier
1093906216
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26060 Issued in NE
Practice address
4229 North 90TH Street
Omaha, NE 68134
Phone
(402) 401-6000
Fax
(402) 401-6015
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26060 NE Primary

Addresses

Primary practice location

4229 North 90TH Street
Omaha, NE 68134

Mailing address

4229 N 90TH St
Omaha, NE 68134-4136
Phone (402) 401-6000

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
I20110707000344 NE Practitioner - Family Practice 0244418606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oneworld Community Health Centers IncGroup PAC ID 3173435153, 56 clinicians

Practice addresses (Care Compare)

4229 N 90TH St
Omaha, NE 68134-4136
Phone (402) 401-6000

4920 S 30TH St
Suite 103
Omaha, NE 68107-1656
Phone (402) 734-4110

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oneworld Community Health Centers, Inc. Current Accepting new patients
Oneworld Community Health Centers, Inc. Past Accepting new patients

Locations

2207 Georgia Ave
Bellevue, NE 68005
Phone (402) 502-8855

4920 S 30th St
Ste 103
Omaha, NE 68107

4229 N 90th St
Omaha, NE 68134
Phone (402) 401-6000

122 S 6th St
Plattsmouth, NE 68048
Phone (402) 296-2345

Interoperability endpoints

  • Direct secure messaging: deepthi.samindla.p1@direct.oneworldomaha.nextgenshare.com

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1093906216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4229 N 90TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681344136",
            "telephone_number": "402-401-6000",
            "fax_number": "402-401-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 NORTH 90TH STREET",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68134",
            "telephone_number": "402-401-6000",
            "fax_number": "402-401-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMINDLA",
        "first_name": "DEEPTHI",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "26060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.