Active NPI
Anja Michelle Zann, M.D.
- Pediatric Urology Physician
- Omaha, NE
National Provider Identifier
1194087205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Urology Physician
- License
- 33415
- Practice address
- 8200 Dodge St
Omaha, NE 68114-4113 - Phone
- (402) 955-4002
- NPI assigned
- Jun 14, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Urology Physician | 2088P0231X | 33415 | NE | Primary |
| Urology Physician | 208800000X | TRN17316 | FL | |
| Urology Physician | 208800000X | 35.130522 | OH | |
| Pediatric Urology Physician | 2088P0231X | 35-130522 | OH |
Addresses
Primary practice location
8200 Dodge St
Omaha, NE 68114-4113
Mailing address
8404 Indian Hills Drive
Ihe 6TH Floor - Urology
Omaha, NE 68114-2664
Phone (024) 955-4002
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0272962 | Medicaid | OH | |
| H543730 | Other | OH | CGS-MEDICARE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.130522 | OH | MD | Urology Physician |
| 35-130522 | OH | MD | Pediatric Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unmc Physicians | Single Specialty | Current | Accepting new patients |
| Nebraska Pediatric Practice, Inc | Single Specialty | Past | Accepting new patients |
Locations
8200 Dodge St
Omaha, NE 68114
Phone (402) 955-4350
988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600
Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731
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": "1339632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1194087205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8404 INDIAN HILLS DRIVE",
"address_2": "IHE 6TH FLOOR - UROLOGY",
"city": "OMAHA",
"state": "NE",
"postal_code": "681142664",
"telephone_number": "024-955-4002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 DODGE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144113",
"telephone_number": "402-955-4002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZANN",
"first_name": "ANJA",
"middle_name": "MICHELLE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-14",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "2088P0231X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology, Pediatric Urology",
"state": "NE",
"license": "33415",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "TRN17316",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "OH",
"license": "35.130522",
"primary": false
},
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "OH",
"license": "35-130522",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0272962",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CGS-MEDICARE",
"identifier": "H543730",
"state": "OH"
}
],
"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 Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.