Individual provider Active NPI

Subhash Paknikar, M.D.

  • Diagnostic Radiology Physician
  • Omaha, NE
National Provider Identifier
1215048830
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
20194 Issued in NE
Practice address
601 N 30TH St Ste 3601
Omaha, NE 68131-2137
Phone
(402) 449-4540
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X MD-41349 IA
Diagnostic Radiology Physician 2085R0202X 20194 NE Primary

Addresses

Primary practice location

601 N 30TH St Ste 3601
Omaha, NE 68131-2137

Mailing address

2500 California PLZ
Omaha, NE 68178-0001

Other practice location 1

12495 University Ave Ste 200
Clive, IA 50325-8290
Phone (515) 282-2921

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
I20100327000067 NE Practitioner - Diagnostic Radiology 1456487693 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20194NEMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Consultants PC Diagnostic Radiology CurrentSince Aug 21, 2013 Accepting new patients
Urology Cancer Center PC CurrentSince Aug 4, 2013 Accepting new patients
Creighton University Past Accepting new patients
Alegent Creighton Clinic Past Accepting new patients
Creighton University Past Accepting new patients
Creighton University Past Accepting new patients

Locations

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

810 N 22nd St
Blair, NE 68008
Phone (402) 426-1116

6901 N 72nd St
Omaha, NE 68122
Phone (402) 572-2121

14441 DuPont Ct
Ste 304
Omaha, NE 68144
Phone (402) 597-8775

7710 Mercy Rd
Ste 426
Omaha, NE 68124
Phone (402) 343-8650

17607 Gold Plz
Omaha, NE 68130
Phone (402) 991-8468

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1215048830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 CALIFORNIA PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681780001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N 30TH ST STE 3601",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312137",
            "telephone_number": "402-449-4540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12495 University Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Clive",
            "state": "IA",
            "postal_code": "503258290",
            "country_code": "US",
            "telephone_number": "515-282-2921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAKNIKAR",
        "first_name": "SUBHASH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "IA",
            "license": "MD-41349",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "20194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.