NPIMap

Organization Active NPI

Hy-Vee Health PC

  • Internal Medicine Physician
  • Omaha, NE
National Provider Identifier
1184498990
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HY-VEE HEALTH PC
Practice address
10810 Farnam Dr Ste 110
Omaha, NE 68154-3257
Phone
(515) 225-2930
Fax
(515) 559-2495
NPI assigned
Nov 13, 2023
Last updated
Mar 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Daniel S FickNPI 1457347049
Title
Owner
Phone
(515) 221-4663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

10810 Farnam Dr Ste 110
Omaha, NE 68154-3257

Mailing address

5820 Westown Pkwy
West Des Moines, IA 50266-8223
Phone (515) 225-2930

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231211001632 NE Part B Supplier - Clinic/Group Practice 1254701618 Receives reassigned benefits from 13 practitioners
1 other NPI on this enrollment
Practice locations: Kearney, NE; Fremont, NE; Papillion, NE; Omaha, NE; Lincoln, NE

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

901 Kelly St
Charles City, IA 50616
Phone (641) 228-1222

3285 Crosspark Rd
Coralville, IA 52241
Phone (319) 665-2078

215 10th St
Ste 110
Des Moines, IA 50309
Phone (402) 896-5000

2395 NW Arterial
Dubuque, IA 52002
Phone (563) 582-3436

1700 Valley West Dr
West Des Moines, IA 50266
Phone (515) 223-4597

1 E Erie St
Ste 640
Chicago, IL 60611
Phone (312) 988-9300

4218 Avenue of the Cities
Moline, IL 61265
Phone (309) 762-0200

9409 Zane Ave N
Brooklyn Park, MN 55443
Phone (763) 488-4502

7280 E Point Douglas Rd S
Cottage Grove, MN 55016
Phone (651) 202-2160

1500 Central Park Commons Dr
Eagan, MN 55121
Phone (651) 405-3662

625 SW US Highway 40
Blue Springs, MO 64014
Phone (515) 695-3781

5020 N 27th St
Lincoln, NE 68521
Phone (402) 477-4764

3410 N 156th St
Omaha, NE 68116
Phone (402) 493-0390

1320 9th Ave SE
Watertown, SD 57201
Phone (605) 882-3311

2424 E Clairemont Ave
Eau Claire, WI 54701
Phone (715) 598-9524

1188 W Fond du Lac St
Ripon, WI 54971

Practitioners & affiliated clinicians

Practitioners 70

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 70

NPI Registry JSON

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1184498990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 WESTOWN PKWY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668223",
            "telephone_number": "515-225-2930",
            "fax_number": "515-559-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 FARNAM DR STE 110",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543257",
            "telephone_number": "515-225-2930",
            "fax_number": "515-559-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HY-VEE HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "FICK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-221-4663"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 17, 2025; 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.