NPIMap

Individual provider Active NPI

Amanda M Dimmitt, MD

  • Diagnostic Radiology Physician
  • Omaha, NE
National Provider Identifier
1265845192
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
31492 Issued in NE
Practice address
Emile @ 42ND St
Omaha, NE 68198-1045
Phone
(402) 559-1010
NPI assigned
Jun 9, 2014
Last updated
May 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 7202 NE
Diagnostic Radiology Physician 2085R0202X 31492 NE Primary

Addresses

Primary practice location

Emile @ 42ND St
Omaha, NE 68198-1045

Mailing address

988102 Nebraska Medical Ctr
Omaha, NE 68198-8102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190510000390 NE Practitioner - Diagnostic Radiology 7113148776 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Nebraska College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Plains Radiology LLCGroup PAC ID 2062310899, 39 clinicians
Grand Island Radiology Associates PCGroup PAC ID 7719978261, 44 clinicians
Plains Radiology Services LLCGroup PAC ID 1850453432, 61 clinicians
Grand Island Clinic IncGroup PAC ID 9931181526, 22 clinicians
CHI Health Clinic Specialty LLCGroup PAC ID 4789098443, 317 clinicians

Practice addresses (Care Compare)

10 E 31St St
CHI Health Good Samaritan
Kearney, NE 68847-2918
Phone (308) 865-7100

2620 W Faidley Ave
CHI Health St Francis
Grand Island, NE 68803-4205
Phone (308) 384-4600

711 N Custer Ave
Gic Imaging
Grand Island, NE 68803-4311
Phone (308) 382-1100

8207 Northwoods Dr
Suite 100
Lincoln, NE 68505-2093
Phone (402) 484-3440

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7202NEMDClinical Social Worker
31492NEMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plains Radiology Services LLC Diagnostic Radiology CurrentSince Aug 1, 2019 Accepting new patients
Heartland Imaging Center of Hastings LLC Diagnostic Radiology CurrentSince Sep 22, 2020 Accepting new patients
Great Plains Radiology LLC Diagnostic Radiology CurrentSince Jan 1, 2021 Accepting new patients
Grand Island Imaging Center LLC Diagnostic Radiology CurrentSince Jan 24, 2020 Accepting new patients
Grand Island Clinic Inc Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Grand Island Radiology Associates PC Diagnostic Radiology CurrentSince Aug 1, 2019 Accepting new patients
Grand Island Clinic Inc Past Accepting new patients

Locations

2444 W Faidley Ave
Grand Island, NE 68803
Phone (308) 382-1100

2620 W Faidley Ave
Grand Island, NE 68803
Phone (308) 382-6856

3610 Richmond Cir
Ste 100
Grand Island, NE 68803
Phone (308) 382-6856

711 N Custer Ave
Grand Island, NE 68803
Phone (308) 381-1781

10 E 31st St
Kearney, NE 68847
Phone (308) 234-5520

Organizations & group practices 8

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 6

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": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1265845192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988102 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681988102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EMILE @ 42ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681981045",
            "telephone_number": "402-559-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMMITT",
        "first_name": "AMANDA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "7202",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "31492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.