Active NPI
Roalene J Redland, M.D.
- Surgery Physician
- Omaha, NE
National Provider Identifier
1245240464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 17170
- Practice address
- 17030 Lakeside Hills PLZ Ste 127
Omaha, NE 68130-2396 - Phone
- (402) 758-5250
- Fax
- (402) 758-5255
- NPI assigned
- Aug 9, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 17170 | NE | Primary |
Addresses
Primary practice location
17030 Lakeside Hills PLZ Ste 127
Omaha, NE 68130-2396
Mailing address
17030 Lakeside Hills PLZ Ste 127
Omaha, NE 68130-2396
Phone (402) 758-5250
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06181 | Other | NE | BCBS NEBRASKA |
| 7583 | Other | NE | MIDLANDS CHOICE |
| 14968 | Other | IA | BCBS IOWA |
| 1106963 | Medicaid | IA | |
| 17-00081 | Other | NE | SHARE ADVANTAGE/IMMANUEL |
| 47076756913 | Medicaid | NE | |
| 17-01083 | Other | NE | SHARE ADVANTAGE/LAKESIDE |
| 264919460 | Other | NE | TRICARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17170 | NE | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infectious Disease & Epidemiology Associates PC | Past | Accepting new patients |
Interoperability endpoints
- roalene.redland@oscomaha.directbygreenway.com
Organizations & group practices 1
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.
-
- Infectious Disease Physician
- Omaha, NE
- NPI 1619116183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551312000000",
"number": "1245240464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17030 LAKESIDE HILLS PLZ STE 127",
"city": "OMAHA",
"state": "NE",
"postal_code": "681302396",
"telephone_number": "402-758-5250",
"fax_number": "402-758-5255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17030 LAKESIDE HILLS PLZ STE 127",
"city": "OMAHA",
"state": "NE",
"postal_code": "681302396",
"telephone_number": "402-758-5250",
"fax_number": "402-758-5255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDLAND",
"first_name": "ROALENE",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2019-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NE",
"license": "17170",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NEBRASKA",
"identifier": "06181",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "7583",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS IOWA",
"identifier": "14968",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1106963",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SHARE ADVANTAGE/IMMANUEL",
"identifier": "17-00081",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47076756913",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SHARE ADVANTAGE/LAKESIDE",
"identifier": "17-01083",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "264919460",
"state": "NE"
}
],
"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 Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.