Individual provider Active NPI

David John Jaskierny Jr., M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Omaha, NE
National Provider Identifier
1205913126
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
18834 Issued in NE
Practice address
4840 F St
Omaha, NE 68117-1407
Phone
(402) 731-4145
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 18834 NE Primary

Addresses

Primary practice location

4840 F St
Omaha, NE 68117-1407

Mailing address

4840 F St
Omaha, NE 68117-1407
Phone (402) 731-4145

Other identifiers 2

IdentifierTypeStateIssuer
36275OtherIALICENSE
18834OtherNELICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131226000660 NE Practitioner - Pathology 5890945067 Reassigns benefits to 2 organizations
I20241126002576 IA Practitioner - Pathology 5890945067 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Nebraska College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Center PCGroup PAC ID 2961396833, shared by 4 NPIs, 43 clinicians
Pathology Medical Services of Siouxland PCGroup PAC ID 1759284441, 3 clinicians

Practice addresses (Care Compare)

10707 Pacific St
Suite 101
Omaha, NE 68114-4762
Phone (402) 397-7989

2720 Stone Park Blvd
Sioux City, IA 51104-3734
Phone (712) 279-3226

3434 W Broadway
102 Urohealth Partners
Council Bluffs, IA 51501-3291
Phone (712) 325-0014

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18834NEMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Urology Center PC CurrentSince Oct 1, 2016 Accepting new patients
Pathology Medical Services of Siouxland PC Anatomic Pathology & Clinical Pathology CurrentSince Sep 15, 2023 Accepting new patients
Adult & Pediatric Urology, PC CurrentSince Oct 1, 2016 Accepting new patients
Urology Center, PC CurrentSince Jul 1, 2025 Accepting new patients
Urology Center PC CurrentSince Jul 1, 2025 Accepting new patients

Locations

300 Sioux Valley Dr
Cherokee, IA 51012
Phone (712) 225-3368

3434 W Broadway
Ste 102
Council Bluffs, IA 51501
Phone (712) 325-0014

701 E 2nd St
Ida Grove, IA 51445
Phone (712) 364-3311

714 Lincoln St NE
Le Mars, IA 51031
Phone (712) 546-3338

1600 Diamond St
Onawa, IA 51040
Phone (712) 423-2311

400 Central Ave NW
Orange City, IA 51041
Phone (712) 737-4984

2301 Eastern Ave
Red Oak, IA 51566
Phone (712) 623-7270

2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000

111 S 90th St
Omaha, NE 68114
Phone (402) 397-7178

10707 Pacific St
Ste 101
Omaha, NE 68114

10707 Pacific St
Ste 100
Omaha, NE 68114
Phone (402) 399-7817

1200 Providence Rd
Wayne, NE 68787
Phone (402) 375-3800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7144/brand/1/csg/1/fhir/r4
  • Direct secure messaging: djaskierny1018381@direct.unitypoint.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Glen Haven VillageGlenwood, IA, CCN 165530 Skilled nursing facility Corporate Officer (100%) Sep 1, 2012

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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 6

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205913126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 F ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681171407",
            "telephone_number": "402-731-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 F ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681171407",
            "telephone_number": "402-731-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASKIERNY",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NE",
            "license": "18834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "36275",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "18834",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.