Active NPI
Gary S. Lerner, M.D.
- Pediatrics Physician
- Omaha, NE
National Provider Identifier
1164520433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 14910
- Practice address
- 8200 Dodge Street
Children'S Hospital - Hospitalists
Omaha, NE 68114-4113 - Phone
- (402) 955-4496
- Fax
- (402) 955-3674
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 14910 | NE | Primary |
Addresses
Primary practice location
8200 Dodge Street
Children'S Hospital - Hospitalists
Omaha, NE 68114-4113
Mailing address
8200 Dodge Street
Children'S Hospital
Omaha, NE 68114-4113
Phone (402) 955-5400
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025138400 | Medicaid | NE | |
| 1201616 | Other | NE | SHARE ADVANTAGE |
| 487 | Other | NE | MIDLANDS CHOICE |
| 206946113 | Medicaid | MO | |
| 06288 | Other | NE | BCBS |
| 1956987 | Medicaid | IA | |
| 47037975441 | Medicaid | NE |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14910 | NE | MD | Pediatrics Physician |
Interoperability endpoints
- glerner929@direct.chsomaha.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208908800000",
"number": "1164520433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8200 DODGE STREET",
"address_2": "CHILDREN'S HOSPITAL",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144113",
"telephone_number": "402-955-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 DODGE STREET",
"address_2": "CHILDREN'S HOSPITAL - HOSPITALISTS",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144113",
"telephone_number": "402-955-4496",
"fax_number": "402-955-3674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LERNER",
"first_name": "GARY",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2008-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NE",
"license": "14910",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025138400",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SHARE ADVANTAGE",
"identifier": "1201616",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "487",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "206946113",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "06288",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1956987",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47037975441",
"state": "NE"
}
],
"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 Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.