Individual provider Active NPI

Carlos E Giraldo Vanegas, MD

  • Internal Medicine Physician
  • Fremont, NE
National Provider Identifier
1194096248
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
28167 Issued in NE
Practice address
680 E Fremont Medical Park Dr
Fremont, NE 68025-2309
Phone
(402) 815-7120
Fax
(402) 721-5230
NPI assigned
Jan 21, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 28167 NE Primary

Addresses

Primary practice location

680 E Fremont Medical Park Dr
Fremont, NE 68025-2309

Mailing address

680 E Fremont Medical Park Dr
Fremont, NE 68025-2309
Phone (402) 815-7120

Other names 1

  • Carlos E Giraldo Other name

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
I20150429000858 NE Practitioner - Internal Medicine 4082933890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Clinic IncGroup PAC ID 4880506062, 557 clinicians

Practice addresses (Care Compare)

680 E Fremont Medical Park Dr
Fremont, NE 68025-2309
Phone (402) 727-1091

Hospital & facility affiliations

  • Methodist Fremont Health Home Care Home health agency, Fremont, NE, CCN 287016
  • Methodist Fremont Health Hospital, Fremont, NE, CCN 280077
  • Dunklau Gardens Nursing home, Fremont, NE, CCN 285119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28167NEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Clinic Inc Internal Medicine CurrentSince Aug 31, 2024 Accepting new patients

Locations

680 E Fremont Medical Park Dr
Fremont, NE 68025
Phone (402) 727-1091

825 S 169th St
#3
Omaha, NE 68118

10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1327104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1194096248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 E FREMONT MEDICAL PARK DR",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252309",
            "telephone_number": "402-815-7120",
            "fax_number": "402-721-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 E FREMONT MEDICAL PARK DR",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252309",
            "telephone_number": "402-815-7120",
            "fax_number": "402-721-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRALDO VANEGAS",
        "first_name": "CARLOS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "28167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLOS",
            "last_name": "GIRALDO",
            "middle_name": "E",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fremont, NE

Sources for this page

Verify at the official NPI Registry.