Active NPI
James A Reilly, M.D.
- Surgery Physician
- Omaha, NE
National Provider Identifier
1114037439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 18448
- Practice address
- 8111 Dodge St
Suite 263
Omaha, NE 68114-4129 - Phone
- (402) 354-8163
- Fax
- (402) 354-2416
- NPI assigned
- Aug 30, 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 18448 | NE | Primary |
| Surgical Oncology Physician | 2086X0206X | 18448 | NE |
Addresses
Primary practice location
8111 Dodge St
Suite 263
Omaha, NE 68114-4129
Mailing address
PO Box 3755
Omaha, NE 68103-0755
Phone (402) 354-2100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47068731707 | Medicaid | NE | |
| 1114037439 | Medicaid | IA |
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 |
|---|---|---|---|
| 18448 | NE | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nebraska Methodist Hospital | Current | Accepting new patients | |
| Physicians Clinic, Inc. | Past | Accepting new patients |
Locations
8303 W Dodge Rd
Omaha, NE 68114
Phone (402) 354-4000
Interoperability endpoints
- james.reilly@direct.nmhs.org
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.
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
-
- Durable Medical Equipment & Medical Supplies
- Omaha, NE
- NPI 1770673923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388707200000",
"number": "1114037439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3755",
"city": "OMAHA",
"state": "NE",
"postal_code": "681030755",
"telephone_number": "402-354-2100",
"fax_number": "402-354-2155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8111 DODGE ST",
"address_2": "SUITE 263",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144129",
"telephone_number": "402-354-8163",
"fax_number": "402-354-2416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REILLY",
"first_name": "JAMES",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2014-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NE",
"license": "18448",
"primary": true
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "NE",
"license": "18448",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47068731707",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114037439",
"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 Jan 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.