Edmund O Fiksinski, MD
Individual provider Active NPI Interventional Cardiology Physician · Omaha, NE
NPI 1124079819 · NPPES record last updated Nov 3, 2022
Key facts
- NPI
- 1124079819
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Cardiology Physician 207RI0011X
- License
- 24213 (NE)
- Practice address
- 1120 N 103Rd PLZ
Suite 100
Omaha, NE 68114-1114 - Phone
- (402) 391-5055
- Fax
- (402) 384-4202
- NPI assigned
- May 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physicians Clinic Inc
Nebraska Methodist Hospital
Practice addresses (Care Compare)
10060 Regency Cir
Omaha, NE 68114-3732
Phone (402) 354-1570
1120 N 103Rd Plaza
200 Cardiothoracic Surgery
Omaha, NE 68114-1119
Phone (402) 354-0400
1120 N 103Rd PLZ
Omaha, NE 68114-1119
16120 W Dodge Rd
Omaha, NE 68118-2049
Phone (402) 354-0550
707 N 190TH Plaza
Elkhorn, NE 68022-3974
Phone (402) 815-4000
717 N 190TH Plaza
Suite 2400
Elkhorn, NE 68022-3974
Phone (402) 815-1901
8303 Dodge St
Omaha, NE 68114-4108
Phone (402) 354-8163
8303 W Dodge St
Omaha, NE 68114-4108
Phone (402) 354-9400
8901 W Dodge Rd
Omaha, NE 68114-3327
Phone (402) 390-1200
Hospital & facility affiliations
- The Nebraska Methodist Hospital
- Methodist Fremont Health
- The Nebraska Medical Center
- Nebraska Orthopaedic Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 31 |
| Pacemaker insertion or repair | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070831000454 | NE | Practitioner - Cardiovascular Disease (Cardiology) |
3678555109 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24213 | NE | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nebraska Methodist Hospital | Cardiovascular Disease | Current |
Accepting new patients |
| Nebraska Methodist Hospital | Current | Accepting new patients | |
| Physicians Clinic Inc | Current |
Accepting new patients | |
| The Heart Center of Northeastern Ohio Inc | Cardiovascular Disease | Past | Accepting new patients |
| Alluma, Inc. | Past | Accepting new patients |
Locations
707 N 190th Plz
Elkhorn, NE 68022
Phone (402) 354-4000
426 E 22nd St
Ste 100
Fremont, NE 68025
Phone (402) 727-7796
16120 W Dodge Rd
Omaha, NE 68118
Phone (402) 354-0550
6901 N 72nd St
Ste 3300N
Omaha, NE 68122
Phone (402) 572-3300
10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405
825 S 169th St
Omaha, NE 68118
Phone (402) 354-3370
6901 N 72nd St
Omaha, NE 68122
Phone (402) 572-2121
1120 N 103rd Plz
Ste 100
Omaha, NE 68114
Phone (402) 391-5055
8303 Dodge St
Ste LL6
Omaha, NE 68114
Phone (402) 354-4104
Interoperability endpoints
- edmund.fiksinski@direct.nmhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 24213 | NE | |
| Interventional Cardiology Physician | 207RI0011X | 24213 | NE | Yes |
Addresses
Primary practice location
1120 N 103Rd PLZ
Suite 100
Omaha, NE 68114-1114
Mailing address
PO Box 3755
Omaha, NE 68103-0755
Phone (402) 354-2100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100264481-00 | Medicaid | NE | |
| 1124079819 | Medicaid | IA |
Other providers in Omaha, NE
- Brittiana Marie Figuracion
- Chamiya Figures
- Qtionna Figures
- Sean C. Figy
- Rebecca Fikar
- Magdalena M Fiksinski
- Candi Lynn Filbrandt
- Holly Filcheck
- Jaylen Mekhi Filhiol
- Tiffany Filhiol
All providers in Omaha, NE · Interventional Cardiology Physician in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.