Individual provider Active NPI

Rodolfo M. Sanchez, M.D.

  • Family Medicine Physician
  • Omaha, NE
National Provider Identifier
1164536819
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21472 Issued in NE
Practice address
3440 S 50TH St
Omaha, NE 68106-3829
Phone
(402) 241-9040
Fax
(402) 884-0088
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21472 NE Primary

Addresses

Primary practice location

3440 S 50TH St
Omaha, NE 68106-3829

Mailing address

3440 S 50TH St
Omaha, NE 68106-3829
Phone (402) 216-6020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050713000547 NE Practitioner - Family Practice 3678509494 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3440 S 50TH St
Omaha, NE 68106-3829
Phone (402) 216-6020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21472NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oneworld Community Health Centers, Inc. CurrentSince Mar 15, 2017 Accepting new patients
Sanchez Family Medical LLC CurrentSince Mar 1, 2021 Accepting new patients
Creighton University Family Medicine Past Accepting new patients
Creighton University Past Accepting new patients
Joshua Medical Centers LLC Family Medicine Past Accepting new patients
Heartland Emergicare, P.C. PastSince Oct 5, 2021 Accepting new patients
Alegent Creighton Clinic Family Medicine Past Accepting new patients

Locations

3440 S 50th St
Omaha, NE 68106
Phone (402) 216-6020

4920 S 30th St
Ste 103
Omaha, NE 68107

122 S 6th St
Plattsmouth, NE 68048
Phone (402) 296-2345

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1164536819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 S 50TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681063829",
            "telephone_number": "402-216-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 S 50TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681063829",
            "telephone_number": "402-241-9040",
            "fax_number": "402-884-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "RODOLFO",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "21472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.