Active NPI
Andrew Keldgord, DO
- Diagnostic Radiology Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 2484
- Practice address
- 981045 Nebraska Medical Center
Unmc Department of Radiology
Omaha, NE 68198-1045 - Phone
- (402) 559-1018
- NPI assigned
- Apr 8, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2484 | NE | Primary |
Addresses
Primary practice location
981045 Nebraska Medical Center
Unmc Department of Radiology
Omaha, NE 68198-1045
Mailing address
21303 Walnut St
Elkhorn, NE 68022-2288
Phone (858) 776-6514
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
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3403 N 128TH Cir
Daniel S Welch MD
Omaha, NE 68164-4237
Phone (480) 306-6949
Emile 42ND St
Omaha, NE 68198-0001
Phone (402) 559-4015
Hospital & facility affiliations
- The Nebraska Medical Center
- Bellevue Medical Center
- Nebraska Orthopaedic Hospital
- St Lukes Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2484 | NE | MD | Psychiatric Hospital |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unmc Physicians | Single Specialty | Current | Accepting new patients |
| Smi Imaging, LLC | Single Specialty | Current | Accepting new patients |
Locations
20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520
790 Gail Gardner Way
Prescott, AZ 86305
Phone (928) 776-9900
981045 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-1010
7819 Dodge St
Omaha, NE 68114
Phone (402) 384-8882
Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731
988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600
Interoperability endpoints
- akeldgord342888@direct.nebraskamed.com
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.
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bellevue, NE
- NPI 1609007525
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1356345318
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1356307581
-
- General Acute Care Hospital
- Sioux City, IA
- NPI 1962594622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753747200000",
"number": "1194354431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21303 WALNUT ST",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680222288",
"telephone_number": "858-776-6514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "981045 NEBRASKA MEDICAL CENTER",
"address_2": "UNMC DEPARTMENT OF RADIOLOGY",
"city": "OMAHA",
"state": "NE",
"postal_code": "681981045",
"telephone_number": "402-559-1018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELDGORD",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-08",
"last_updated": "2025-07-29",
"certification_date": "2025-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "NE",
"license": "2484",
"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 Jul 29, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.