Individual provider Active NPI

Bryan Michael Motwani, D.O

  • Emergency Medicine Physician
  • Omaha, NE
National Provider Identifier
1265814321
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
7505 Issued in NE
Practice address
1705 N 49TH St
Omaha, NE 68104-5043
Phone
(817) 793-3112
NPI assigned
Jun 25, 2015
Last updated
Jun 25, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 7505 NE Primary

Addresses

Primary practice location

1705 N 49TH St
Omaha, NE 68104-5043

Mailing address

1705 N 49TH St
Omaha, NE 68104
Phone (817) 793-3112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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

Enrollment IDStateProvider typePAC IDDetails
I20180626000821 MO Practitioner - Emergency Medicine 5890001879 Reassigns benefits to 2 organizations
I20241023004400 KS Practitioner - Emergency Medicine 5890001879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of Mo LLCGroup PAC ID 1951766559, 85 clinicians

Practice addresses (Care Compare)

17065 S Outer Rd
Belton Regional Medical Emergency Room
Belton, MO 64012-2165
Phone (816) 348-1200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7505NEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of Mo, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Mercy Hospital Springfield CurrentSince Apr 18, 2024 Accepting new patients
Mercy Hospital Springfield CurrentSince Apr 18, 2024 Accepting new patients
Emergency Medicine Services of KS, PA Emergency Medicine CurrentSince Aug 5, 2024 Accepting new patients

Locations

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

17065 S Outer Rd
Belton, MO 64012
Phone (816) 322-2000

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

6601 Rockhill Rd
Kansas City, MO 64131
Phone (816) 276-7000

6675 Holmes Rd
Kansas City, MO 64131
Phone (816) 276-7000

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1265814321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 N 49TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68104",
            "telephone_number": "817-793-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 N 49TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681045043",
            "telephone_number": "817-793-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTWANI",
        "first_name": "BRYAN",
        "middle_name": "MICHAEL",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-25",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NE",
            "license": "7505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.