Individual provider Active NPI

Erin Dahlke, D.O.

  • Family Medicine Physician
  • Omaha, NE
National Provider Identifier
1134488554
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1123 Issued in NE
Practice address
4200 Douglas St
Omaha, NE 68131-2705
Phone
(402) 552-3222
Fax
(402) 552-2172
NPI assigned
May 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036163548 IL
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 036163548 IL
Student in an Organized Health Care Education/Training Program 390200000X NE
Family Medicine Physician 207Q00000X 1123 NE Primary

Addresses

Primary practice location

4200 Douglas St
Omaha, NE 68131-2705

Mailing address

1725 W Harrison St Ste 10
Chicago, IL 60612-3849
Phone (312) 563-3700

Other practice location 1

1725 W Harrison St Ste 10
Chicago, IL 60612-3849
Phone (312) 563-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20230504001170 IL Practitioner - Hospice/Palliative CarePractitioner - Family Practice 4385874361 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1123NEMDMental Health Counselor
036163548ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Center CurrentSince May 1, 2023 Accepting new patients
Rush University Medical Group Family Medicine CurrentSince May 1, 2023 Accepting new patients
Nebraska Medical Center Family Medicine Past Accepting new patients
The Nebraska Medical Center Past Accepting new patients
Tabitha Home Health Care & Hospice LLC-a Collaboration With Immanuel Family Medicine Past Accepting new patients

Locations

1725 W Harrison St
Ste 10
Chicago, IL 60612
Phone (312) 563-3700

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Oncare Hospice LLCOmaha, NE, CCN 281551 Hospice Contracted Managing Employee Mar 6, 2023
Tabitha Hospice-a Collaboration With ImmanuelOmaha, NE, CCN 281556 Hospice Contracted Managing Employee Jan 1, 2024
Oncare Hospice Ia LLCCouncil Bluffs, IA, CCN 161622 Hospice Contracted Managing Employee Apr 29, 2024

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1134488554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 10",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123849",
            "telephone_number": "312-563-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 DOUGLAS ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312705",
            "telephone_number": "402-552-3222",
            "fax_number": "402-552-2172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1725 W Harrison St Ste 10",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123849",
            "country_code": "US",
            "telephone_number": "312-563-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAHLKE",
        "first_name": "ERIN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-04",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036163548",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "IL",
            "license": "036163548",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NE",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "1123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.