Individual provider Active NPI

Nirmal Arogyaswami Raj, MD

  • Adult Medicine Physician
  • Omaha, NE
National Provider Identifier
1255413803
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
18039 Issued in NE
Practice address
8045 L St
Family Medicine & Surgery PC
Omaha, NE 68127-1745
Phone
(402) 898-1600
Fax
(402) 898-1599
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 18039 NE Primary

Addresses

Primary practice location

8045 L St
Family Medicine & Surgery PC
Omaha, NE 68127-1745

Mailing address

8045 L St
Omaha, NE 68127-1745
Phone (402) 898-1600

Other names 1

  • Mr. Arogyaswami Nirmalraj Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220216002593 NE Order and Referring Only - Family PracticePractitioner - Family Practice 7214194026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18039NEMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Burton Prosthetics Inc Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255413803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8045 L ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271745",
            "telephone_number": "402-898-1600",
            "fax_number": "402-898-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8045 L ST",
            "address_2": "FAMILY MEDICINE & SURGERY PC",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271745",
            "telephone_number": "402-898-1600",
            "fax_number": "402-898-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJ",
        "first_name": "NIRMAL",
        "middle_name": "AROGYASWAMI",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NE",
            "license": "18039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AROGYASWAMI",
            "last_name": "NIRMALRAJ",
            "prefix": "MR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.