Individual provider Active NPI

Salaheddin H. I. Elrokhsi, M.D., M.S.C.

  • Pediatric Endocrinology Physician
  • Omaha, NE
National Provider Identifier
1174939540
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
29779 Issued in NE
Practice address
8200 Dodge Street
Pediatric Endocrinology Department
Omaha, NE 68114
Phone
(402) 955-3871
Fax
(402) 955-8738
NPI assigned
Jul 7, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X 29779 NE Primary

Addresses

Primary practice location

8200 Dodge Street
Pediatric Endocrinology Department
Omaha, NE 68114

Mailing address

8200 Dodge Street
Pediatric Endocrinology Department
Omaha, NE 68114-4113
Phone (402) 955-3871

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
I20170803002903 NE Practitioner - Pediatric Medicine 1052682408 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Unmc Physicians CurrentSince Jul 16, 2017 Accepting new patients
Nebraska Pediatric Practice, Inc Past Accepting new patients

Locations

1540 N 72nd St
Omaha, NE 68114
Phone (402) 393-8693

8200 Dodge St
Omaha, NE 68114
Phone (402) 955-4350

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600

Interoperability endpoints

  • Direct secure messaging: selrokhsi36464@direct.chsomaha.org

Organizations & group practices 2

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": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1174939540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 DODGE STREET",
            "address_2": "PEDIATRIC ENDOCRINOLOGY DEPARTMENT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144113",
            "telephone_number": "402-955-3871",
            "fax_number": "402-955-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 DODGE STREET",
            "address_2": "PEDIATRIC ENDOCRINOLOGY DEPARTMENT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68114",
            "telephone_number": "402-955-3871",
            "fax_number": "402-955-8738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELROKHSI",
        "first_name": "SALAHEDDIN",
        "middle_name": "H. I.",
        "credential": "M.D., M.S.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-07",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NE",
            "license": "29779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.