Active NPI
Anela Bonic Izadi, PHD, MD
- Diagnostic Radiology Physician
- Omaha, NE
National Provider Identifier
1235278276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 5753
- Practice address
- 981045 Nebraska Medical Ctr
Department of Radiology
Omaha, NE 68198-1045 - Phone
- (402) 559-1018
- NPI assigned
- Feb 6, 2007
- Last updated
- Aug 17, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 5753 | NE | Primary |
| Surgery Physician | 208600000X | 2006-0429 | NM |
Addresses
Primary practice location
981045 Nebraska Medical Ctr
Department of Radiology
Omaha, NE 68198-1045
Mailing address
981045 Nebraska Medical Ctr
Department of Radiology
Omaha, NE 68198-1045
Phone (402) 559-1018
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5753 | NE | MD | Diagnostic Radiology Physician |
| 2006-0429 | NM | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218931200000",
"number": "1235278276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "981045 NEBRASKA MEDICAL CTR",
"address_2": "DEPARTMENT OF RADIOLOGY",
"city": "OMAHA",
"state": "NE",
"postal_code": "681981045",
"telephone_number": "402-559-1018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "981045 NEBRASKA MEDICAL CTR",
"address_2": "DEPARTMENT OF RADIOLOGY",
"city": "OMAHA",
"state": "NE",
"postal_code": "681981045",
"telephone_number": "402-559-1018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IZADI",
"first_name": "ANELA",
"middle_name": "BONIC",
"credential": "PHD, MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2008-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NE",
"license": "5753",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NM",
"license": "2006-0429",
"primary": false
}
],
"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 Aug 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.