Active NPI
Alex T Stolarskyj, MD
- Diagnostic Radiology Physician
- Omaha, NE
National Provider Identifier
1104852516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 11637
- Practice address
- 7500 Mercy Rd
Omaha, NE 68124 - Phone
- (402) 398-6198
- NPI assigned
- Jun 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 11637 | NE | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 20608 | IA |
Addresses
Primary practice location
7500 Mercy Rd
Omaha, NE 68124
Mailing address
PO Box 4460
Omaha, NE 68104-0460
Phone (866) 491-5807
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1600519 | Other | UHC SHARE ALLIANCE | |
| 19314 | Other | IA | BCBS |
| 6793321 | Medicaid | IA | |
| 7973321 | Medicaid | IA | |
| 1600005 | Other | UHC SHARE ALLIANCE | |
| 00701 | Other | NE | BCBS |
| 2973321 | Medicaid | IA | |
| 5973321 | Medicaid | IA | |
| 10861 | Other | MIDLANDS | |
| 8973321 | Medicaid | IA | |
| BS6851667 | Other | IA | IA CONTROLLED SUBSTANCE |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Medical Imaging Center Inc | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Consultants PC | Diagnostic Radiology | Past | Accepting new patients |
| Alegent Health Immanuel Medical Center | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Omaha, NE
- NPI 1912192907
-
- Diagnostic Radiology Physician
- Omaha, NE
- NPI 1902975386
-
- Diagnostic Radiology Physician
- Omaha, NE
- NPI 1215969407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1104852516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4460",
"city": "OMAHA",
"state": "NE",
"postal_code": "681040460",
"telephone_number": "866-491-5807",
"fax_number": "913-491-0411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7500 MERCY RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "68124",
"telephone_number": "402-398-6198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOLARSKYJ",
"first_name": "ALEX",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-25",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NE",
"license": "11637",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IA",
"license": "20608",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC SHARE ALLIANCE",
"identifier": "1600519",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "19314",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6793321",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7973321",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC SHARE ALLIANCE",
"identifier": "1600005",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00701",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2973321",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5973321",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS",
"identifier": "10861",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8973321",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IA CONTROLLED SUBSTANCE",
"identifier": "BS6851667",
"state": "IA"
}
],
"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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.