Active NPI
Erin Dahlke, D.O.
- Family Medicine Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1123
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1123 | NE | MD | Mental Health Counselor |
| 036163548 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush University Medical Center | Current | Accepting new patients | |
| Rush University Medical Group | Family Medicine | Current | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Oncare Hospice LLC | Hospice | Contracted Managing Employee | Mar 6, 2023 |
| Tabitha Hospice-a Collaboration With Immanuel | Hospice | Contracted Managing Employee | Jan 1, 2024 |
| Oncare Hospice Ia LLC | 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.
-
- Community Based Hospice Care Agency
- Omaha, NE
- NPI 1326610478
Contracted Managing Employee
-
- Community Based Hospice Care Agency
- Omaha, NE
- NPI 1477213809
Contracted Managing Employee
-
- Community Based Hospice Care Agency
- Council Bluffs, IA
- NPI 1669208567
Contracted Managing Employee
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.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
Family Medicine
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1184269425
-
- Family Medicine Physician
- Omaha, NE
- NPI 1891721395
-
- Community Based Hospice Care Agency
- Omaha, NE
- NPI 1477213809
Family Medicine
-
- Community/Retail Pharmacy
- Omaha, NE
- NPI 1477264596
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.