Amanda M Dimmitt, MD
Individual provider Active NPI Diagnostic Radiology Physician · Omaha, NE
NPI 1265845192 · NPPES record last updated May 1, 2019
Key facts
- NPI
- 1265845192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 31492 (NE)
- Practice address
- Emile @ 42ND St
Omaha, NE 68198-1045 - Phone
- (402) 559-1010
- NPI assigned
- Jun 9, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 6
Medicare Care Compare profile
- 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 LLC
Grand Island Radiology Associates PC
Plains Radiology Services LLC
Grand Island Clinic Inc
CHI Health Clinic Specialty LLC
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
- Grand Island Regional Medical Center
- CHI Health Good Samaritan
- CHI Health St. Francis
- Merrick Medical Center
- Community Medical Center, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190510000390 | NE | Practitioner - Diagnostic Radiology | 7113148776 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7202 | NE | MD | Clinical Social Worker |
| 31492 | NE | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plains Radiology Services LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Grand Island Radiology Associates PC | Diagnostic Radiology | Current |
Accepting new patients |
| Great Plains Radiology LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Grand Island Clinic Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Grand Island Imaging Center LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Heartland Imaging Center of Hastings LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Grand Island Clinic Inc | Past | Accepting new patients |
Locations
2444 W Faidley Ave
Grand Island, NE 68803
Phone (308) 382-1100
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
2620 W Faidley Ave
Grand Island, NE 68803
Phone (308) 382-6856
10 E 31st St
Kearney, NE 68847
Phone (308) 234-5520
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 7202 | NE | |
| Diagnostic Radiology Physician | 2085R0202X | 31492 | NE | Yes |
Addresses
Primary practice location
Emile @ 42ND St
Omaha, NE 68198-1045
Mailing address
988102 Nebraska Medical Ctr
Omaha, NE 68198-8102
Other providers in Omaha, NE
- Kristina Marie Dimaio
- Sofia Dimas
- Brooklyn Ann Dimauro
- Shaelynne Dimauro
- Alejandra Dimayuga-Page
- Darline Dimmitt
- Devin Dean Dimmitt
- Kathryn Dimmitt
- Taryn Dimmitt
- Alyssa Dinapoli
All providers in Omaha, NE · Diagnostic Radiology Physician in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.