Michael J Dulac, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

22194 Issued in NE

Practice address

13808 West Maple Road
Children'S Hospital - Urgent Care
Omaha, NE 68164

Phone

(402) 955-3600

Fax

(402) 955-7055

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Sancta Familia Health Associates LLC

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1497051015

  Pediatrics

  Medicare reassignment NPD
• Heartland Family First Medical Clinic, LLC

  • Pediatrics Physician
  • Omaha, NE
  • NPI 1790140556
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174699102",
    "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": "13808 WEST MAPLE ROAD",
            "address_2": "CHILDREN'S HOSPITAL - URGENT CARE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68164",
            "telephone_number": "402-955-3600",
            "fax_number": "402-955-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULAC",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NE",
            "license": "22194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "D00934",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sriharsha Duggirala, LMHP
• Laura Dugick, APRN
• Heather Jo Duhachek-Chase, MS, LIMHP
• Amy Duhachek-Stapelman, MD
• Dukes Village Development
• Susan Marie Dulany
• Deborah Dulik
• Dorothy L Dulik, MS CCC SLP
• Dario Dulovic
• Adrionna Dumarce

• Pediatrics Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Pediatrics Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.