Active NPI
Omega Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F231768 | Other | NE | MIDLANDS CHOICE |
| 31910 | Other | NE | BLUE CROSS & BLUE SHIELD |
| 6890031 | Other | NE | UNITED HEALTHCARE |
| 490004242 | Other | NE | RAILROAD MEDICARE |
| 0548354 | Other | IA | IOWA MEDICAID |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Center
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
-
- Ambulatory Surgical Clinic/Center
- Omaha, NE
- NPI 1942306816
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.
-
- Ophthalmology Physician
- Omaha, NE
- NPI 1548275472
-
- Ophthalmology Physician
- Omaha, NE
- NPI 1801802806
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.