Individual provider Active NPI

Dawn M Bodnar, MD

  • Cardiovascular Disease Physician
  • Omaha, NE
National Provider Identifier
1164475729
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
22001 Issued in NE
Practice address
7500 Mercy Rd
Omaha, NE 68124-2319
Phone
(402) 398-5880
Fax
(402) 398-6716
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 22001 NE Primary
Cardiovascular Disease Physician 207RC0000X 36044 IA

Addresses

Primary practice location

7500 Mercy Rd
Omaha, NE 68124-2319

Mailing address

7261 Mercy Rd
Omaha, NE 68124-2311

Other identifiers 3

IdentifierTypeStateIssuer
31027OtherNEBLUE CROSS BLUE SHIELD
23911OtherIAWELLMARK
3557975MedicaidIA

Other names 1

  • Dawn M Hagen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050922000632 NE Practitioner - Cardiovascular Disease (Cardiology) 8123052768 Reassigns benefits to 2 organizations
I20050923000873 IA Practitioner - Cardiovascular Disease (Cardiology) 8123052768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Nebraska College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Care Services IncGroup PAC ID 4284624909, 51 clinicians
Alegent Creighton ClinicGroup PAC ID 1951210418, shared by 2 NPIs, 951 clinicians

Practice addresses (Care Compare)

430 N Monitor St
Franciscan Healthcare
West Point, NE 68788-1595
Phone (402) 372-2404

631 N 8TH St
Missouri Valley, IA 51555-1102
Phone (712) 642-2784

7500 Mercy Rd
Omaha, NE 68124-2319
Phone (402) 398-5580

800 Mercy Dr
Council Bluffs, IA 51503-3128

Hospital & facility affiliations

  • CHI Health Lakeside Hospital, Omaha, NE, CCN 280130
  • CHI Health Bergan Mercy Hospital, Omaha, NE, CCN 280060
  • CHI Health Missouri Valley Hospital, Missouri Valley, IA, CCN 161309
  • CHI Health Immanuel Hospital, Omaha, NE, CCN 280081
  • CHI Health Mercy Council Bluffs Hospital, Council Bluffs, IA, CCN 160028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22001NEMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic Cardiovascular Disease CurrentSince Feb 1, 2009 Accepting new patients
Alegent Creighton Clinic Cardiovascular Disease Current Accepting new patients
Franciscan Care Services Inc CurrentSince Jan 11, 2017 Accepting new patients
Franciscan Care Services Inc Cardiovascular Disease CurrentSince Jan 11, 2017 Accepting new patients
Alegent Creighton Clinic CurrentSince Feb 1, 2009 Accepting new patients
Alegent Health Bergan Mercy Health System Past Accepting new patients

Locations

800 Mercy Dr
Ste 448
Council Bluffs, IA 51503
Phone (712) 328-5490

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

1203 S Locust St
Glenwood, IA 51534
Phone (712) 527-3699

2771 Solution Ctr
Chicago, IL 60677

1130 N 204th Ave
Elkhorn, NE 68022
Phone (402) 289-3377

6901 N 72nd St
Omaha, NE 68122
Phone (402) 572-2121

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

7101 Newport Ave
Omaha, NE 68152
Phone (402) 572-2905

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

7500 Mercy Rd
Omaha, NE 68124
Phone (402) 398-5880

430 N Monitor St
West Point, NE 68788
Phone (402) 372-2404

Interoperability endpoints

  • Direct secure messaging: dbodnar37609@achce.catholichealth.net

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1164475729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 MERCY RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 MERCY RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242319",
            "telephone_number": "402-398-5880",
            "fax_number": "402-398-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODNAR",
        "first_name": "DAWN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NE",
            "license": "22001",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IA",
            "license": "36044",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "31027",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "23911",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3557975",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "HAGEN",
            "middle_name": "M",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.