Active NPI
Dawn M Bodnar, MD
- Cardiovascular Disease Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 22001
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31027 | Other | NE | BLUE CROSS BLUE SHIELD |
| 23911 | Other | IA | WELLMARK |
| 3557975 | Medicaid | IA |
Other names 1
- Dawn M Hagen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Alegent Creighton Clinic
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
- CHI Health Bergan Mercy
- CHI Health Missouri Valley
- CHI Health Immanuel
- CHI Health Mercy Council Bluffs
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22001 | NE | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegent Creighton Clinic | Cardiovascular Disease | Current | Accepting new patients |
| Alegent Creighton Clinic | Cardiovascular Disease | Current | Accepting new patients |
| Franciscan Care Services Inc | Current | Accepting new patients | |
| Franciscan Care Services Inc | Cardiovascular Disease | Current | Accepting new patients |
| Alegent Creighton Clinic | Current | 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
- 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.
-
- Certified Registered Nurse Anesthetist
- West Point, NE
- NPI 1043224975
Cardiovascular Disease, NE
-
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
Cardiovascular Disease, IA
-
- Internal Medicine Physician
- Omaha, NE
- NPI 1518227859
Cardiovascular Disease
-
- Rural Health Clinic/Center
- Oakland, NE
- NPI 1699466052
-
- Nurse Practitioner
- Omaha, NE
- NPI 1982773776
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Omaha, NE
- NPI 1396969499
Hospital
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1508941097
Hospital
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1912085184
Hospital
-
- General Acute Care Hospital
- Council Bluffs, IA
- NPI 1265517759
Hospital
-
- Critical Access Hospital
- Missouri Valley, IA
- NPI 1508964123
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.