Active NPI
Samuel A Lazarus I
- Chore Provider
- Omaha, NE
National Provider Identifier
1134910839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chore Provider
- License
- H13128240
- Practice address
- 12266 Charles St
Omaha, NE 68154-1320 - Phone
- (406) 298-0938
- NPI assigned
- May 14, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | H13128240 | NE | Primary |
Addresses
Primary practice location
12266 Charles St
Omaha, NE 68154-1320
Mailing address
12266 Charles St
Omaha, NE 68154-1320
Phone (406) 298-0938
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H13128240 | NE | MD | Chore Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747180800000",
"number": "1134910839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12266 CHARLES ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681541320",
"telephone_number": "406-298-0938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12266 CHARLES ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681541320",
"telephone_number": "406-298-0938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZARUS",
"first_name": "SAMUEL",
"middle_name": "A",
"name_suffix": "I",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-05-14",
"last_updated": "2025-05-14",
"certification_date": "2025-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "NE",
"license": "H13128240",
"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 May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.