Active NPI
Radiology Consultants PC
- Diagnostic Radiology Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- RADIOLOGY CONSULTANTS PC
- Practice address
- 11902 W Center Rd Ste 200
Omaha, NE 68144-4326 - Phone
- (402) 398-6198
- NPI assigned
- Jul 7, 2006
- Last updated
- Dec 4, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shirleane Lange
- Title
- Administrator
- Phone
- (402) 597-8775
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
11902 W Center Rd Ste 200
Omaha, NE 68144-4326
Mailing address
PO Box 4460
Omaha, NE 68104
Phone (866) 491-5807
Other practice location 1
7500 Mercy Rd
Omaha, NE 68124-2319
Phone (402) 398-6198
Other practice location 2
11902 W Center Rd Ste 400
Omaha, NE 68144-4326
Phone (402) 398-6198
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0943290 | Medicaid | NV | |
| 10025039100 | Medicaid | NE | |
| CS9045 | Other | NE | RR MEDICARE |
| 01939 | Other | NE | BCBS |
| 0575241 | Medicaid | NE | |
| 10025038700 | Medicaid | NE | |
| 0211557 | Medicaid | IA | |
| 17829 | Other | IOWA BCBS | |
| 0943290 | Medicaid | NE | |
| CG9162 | Other | IA | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA, OK, CO, CT, FL, MA, NC, MD, UT, DC, IN, WA, SC, CA, TX, AK, NV, VT, WV, AZ, IL, AL
Enrollment records 23
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
dba Northwest Imaging Center
- Radiology Clinic/Center
- Omaha, NE
- NPI 1760541288
Member Of
Locations
222 N 192nd St
Elkhorn, NE 68022
7710 Mercy Rd
Omaha, NE 68124
Phone (402) 397-2517
3606 N 156th St
Ste 102105
Omaha, NE 68116
Phone (402) 717-1177
7100 W Center Rd
Omaha, NE 68106
Phone (402) 506-9000
17445 Arbor St
Ste 310
Omaha, NE 68130
12728 Augusta Ave
Omaha, NE 68144
Phone (402) 330-1410
14441 DuPont Ct
Ste 304
Omaha, NE 68144
Phone (402) 597-8775
17241 Oak Dr
Omaha, NE 68130
Phone (402) 896-1242
11902 W Center Rd
Ste 400
Omaha, NE 68144
Phone (402) 398-6198
Practitioners & affiliated clinicians
Practitioners 113
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Fremont, NE
- NPI 1104862218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733270400000",
"number": "1215969407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4460",
"city": "OMAHA",
"state": "NE",
"postal_code": "68104",
"telephone_number": "866-491-5807",
"fax_number": "913-491-0411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11902 W CENTER RD STE 200",
"city": "OMAHA",
"state": "NE",
"postal_code": "681444326",
"telephone_number": "402-398-6198"
}
],
"practiceLocations": [
{
"address_1": "7500 Mercy Rd",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681242319",
"country_code": "US",
"telephone_number": "402-398-6198",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11902 W Center Rd Ste 400",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681444326",
"country_code": "US",
"telephone_number": "402-398-6198",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "RADIOLOGY CONSULTANTS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-07",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A",
"authorized_official_last_name": "LANGE",
"authorized_official_first_name": "SHIRLEANE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "402-597-8775"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0943290",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025039100",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CS9045",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01939",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0575241",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025038700",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0211557",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IOWA BCBS",
"identifier": "17829",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0943290",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CG9162",
"state": "IA"
}
],
"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 Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.