Individual provider Active NPI

Anela Bonic Izadi, PHD, MD

  • Diagnostic Radiology Physician
  • Omaha, NE
National Provider Identifier
1235278276
Registry record updated Aug 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
5753 Issued in NE
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, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
5753NEMDDiagnostic Radiology Physician
2006-0429NMMDSurgery 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.

Verify at the official NPI Registry.