Organization Active NPI

Omega Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Omaha, NE
National Provider Identifier
1255346045
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
OMEGA SURGERY CENTER LLC
Practice address
11606 Nicholas St
Suite 200
Omaha, NE 68154-4478
Phone
(402) 493-2020
Fax
(402) 493-8341
NPI assigned
Jul 30, 2006
Last updated
Apr 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Authorized official

Name
Dr. Sao Jang Liu, M.D.NPI 1548275472
Title
Medical Director
Phone
(402) 493-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

11606 Nicholas St
Suite 200
Omaha, NE 68154-4478

Mailing address

11606 Nicholas St
Suite 200
Omaha, NE 68154-4478
Phone (402) 493-2020

Other identifiers 5

IdentifierTypeStateIssuer
F231768OtherNEMIDLANDS CHOICE
31910OtherNEBLUE CROSS & BLUE SHIELD
6890031OtherNEUNITED HEALTHCARE
490004242OtherNERAILROAD MEDICARE
0548354OtherIAIOWA MEDICAID

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Direct@OmahaEyeLaserOmahaNE.CompulinkDirect.com Health Information Exchange (HIE) Omaha Eye & Laser Institute, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060925000163 NE Part B Supplier - Ambulatory Surgical Center 3870503329 Practice locations: Omaha, NE

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Omega Surgery CenterCCN 28C0001010
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1500 S 48th St
Ste 610
Lincoln, NE 68506
Phone (402) 483-4448

755 Fallbrook Blvd
Ste 204
Lincoln, NE 68521
Phone (402) 483-4448

11606 Nicholas St
Ste 100
Omaha, NE 68154
Phone (402) 493-3712

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1255346045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11606 NICHOLAS ST",
            "address_2": "SUITE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544478",
            "telephone_number": "402-493-2020",
            "fax_number": "402-493-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11606 NICHOLAS ST",
            "address_2": "SUITE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544478",
            "telephone_number": "402-493-2020",
            "fax_number": "402-493-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "SAO",
        "authorized_official_middle_name": "JANG",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "402-493-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "F231768",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "31910",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "6890031",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "490004242",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA MEDICAID",
            "identifier": "0548354",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Direct@OmahaEyeLaserOmahaNE.CompulinkDirect.com",
            "affiliation": "Y",
            "affiliationName": "Omaha Eye & Laser Institute, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "11606 Nicholas St",
            "address_2": "Suite 200",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681544478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.