Barry L Fanders, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

17419 Issued in NE

Practice address

6901 N 72ND St
Alegent Immanuel Hospital Dept of Radiology
Omaha, NE 68122-1709

Phone

(402) 572-2324

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA, NE2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

University of Missouri, Kansas City, School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiology Consultants PCGroup PAC ID 8325947799, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI Health Bergan Mercy Hospital, Omaha, NE, CCN 280060
• CHI Health Nebraska Heart Hospital, Lincoln, NE, CCN 280128
• CHI Health Lakeside Hospital, Omaha, NE, CCN 280130
• CHI Health St. Elizabeth Hospital, Lincoln, NE, CCN 280020
• CHI Health Immanuel Hospital, Omaha, NE, CCN 280081

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Radiology Consultants PC

  • Diagnostic Radiology Physician
  • Omaha, NE
  • NPI 1215969407

  IA

  Medicare reassignment Care Compare group NPD
• Think Aksarben, LLC

  • Multi-Specialty Clinic/Center
  • Omaha, NE
  • NPI 1316357676
  Medicare reassignment NPD
• Alegent Health Immanuel Medical Center

  • Cardiovascular Disease Physician
  • Omaha, NE
  • NPI 1912192907
  NPD (past)
• Midwest Medical Imaging Center Inc

  • Diagnostic Radiology Physician
  • Omaha, NE
  • NPI 1902975386
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alegent Creighton Health

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1649355132
  Care Compare affiliation
• Alegent Health Bergan Mercy Health System

  • Psychiatric Hospital Unit
  • Omaha, NE
  • NPI 1396969499
  Care Compare affiliation
• Alegent Health Bergan Mercy Health System

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1508941097
  Care Compare affiliation
• Alegent Health Immanuel Medical Center

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1912085184
  Care Compare affiliation
• Nebraska Heart Hospital

  • General Acute Care Hospital
  • Lincoln, NE
  • NPI 1699718437
  Care Compare affiliation
• Saint Elizabeth Regional Medical Center

  • General Acute Care Hospital
  • Lincoln, NE
  • NPI 1336155738
  Care Compare affiliation

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264982400000",
    "number": "1245300565",
    "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": "681040460",
            "telephone_number": "866-491-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 N 72ND ST",
            "address_2": "ALEGENT IMMANUEL HOSPITAL DEPT OF RADIOLOGY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681221709",
            "telephone_number": "402-572-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANDERS",
        "first_name": "BARRY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2010-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "17419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0983783",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245300565",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Qiushi Fan, M.M.N., B.MED., RDN
• Mehdi Fanai, MD
• Tiffany Ann Fancher, PHARM.D.
• Patricia Sue Fanciullo
• Denise Fandel, AT RET.
• Jenny Fanfan
• Benjamin Robert Fangman, D.O.
• Carrie Lynn Fanning
• Angela Kristine Fanoele-Gifford, LIMHP
• Edmund Bruno Fanslau

• Diagnostic Radiology Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Diagnostic Radiology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.