Ayesha Abbas
Individual provider Active NPI Family Medicine Physician · Omaha, NE
NPI 1134096803 · NPPES record last updated Oct 18, 2025
Key facts
- NPI
- 1134096803
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 10436 (NE)
- Practice address
- 7710 Mercy Rd Ste 202
Omaha, NE 68124-2353 - Phone
- (402) 280-4318
- NPI assigned
- Oct 18, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| I20251106000746 | NE | Order and Referring Only - Family Practice |
2860982022 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10436 | NE | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 10436 | NE | Yes |
Addresses
Primary practice location
7710 Mercy Rd Ste 202
Omaha, NE 68124-2353
Mailing address
7710 Mercy Rd Ste 202
Omaha, NE 68124-2353
Phone (402) 280-4318
Other providers in Omaha, NE
- Jose Santos Abarca Rivera
- Gladys Yajaira Abarca Sotelo
- Peter A. Abasolo
- Boukar Abba Moussa
- Anum Abbas
- Karim Abbas
- Cyrus Abbaszadeh
- Abele Marie Antoinette Abbey
- Carolyn M Abbot
- Anna Abbott
All providers in Omaha, NE · Family Medicine 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 Oct 18, 2025. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.