Individual provider Active NPI

Herman M Greenwald, M.D.

  • Urology Physician
  • Omaha, NE
National Provider Identifier
1295733020
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
15990 Issued in NE
Practice address
7710 Mercy Rd
Suite 406
Omaha, NE 68124-2372
Phone
(402) 717-2500
Fax
(402) 717-2525
NPI assigned
Jul 14, 2005
Last updated
Nov 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 25343 IA
Urology Physician 208800000X 15990 NE Primary

Addresses

Primary practice location

7710 Mercy Rd
Suite 406
Omaha, NE 68124-2372

Mailing address

7261 Mercy Rd
North Building, First Floor
Omaha, NE 68124-2311
Phone (402) 398-6254

Other practice location 1

1288 Valley View Dr
Council Bluffs, IA 51503-5245
Phone (402) 717-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20100910001140 IA Practitioner - Urology 2567361082 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25343IAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic CurrentSince Oct 21, 2013 Accepting new patients
Midwest Urology Associates, P.C. Urology CurrentSince Jan 1, 1995 Accepting new patients

Locations

311 S Clark St
Carroll, IA 51401
Phone (712) 792-3581

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

1203 S Locust St
Glenwood, IA 51534
Phone (712) 527-3699

631 N 8th St
Mo Valley, IA 51555
Phone (712) 642-2784

300 Pershing Ave
Shenandoah, IA 51601
Phone (712) 246-1230

10170 Nicholas St
Omaha, NE 68114
Phone (402) 391-3800

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

7261 Mercy Rd
Bldg First
Omaha, NE 68124

7710 Mercy Rd
Ste 406
Omaha, NE 68124
Phone (402) 717-2500

104 W 17th St
Schuyler, NE 68661
Phone (402) 352-2441

1721 Colfax St
Schuyler, NE 68661
Phone (402) 352-3745

Interoperability endpoints

  • Direct secure messaging: hgreenwald41240@achce.catholichealth.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1295733020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 MERCY RD",
            "address_2": "NORTH BUILDING, FIRST FLOOR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242311",
            "telephone_number": "402-398-6254",
            "fax_number": "402-829-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 MERCY RD",
            "address_2": "SUITE 406",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242372",
            "telephone_number": "402-717-2500",
            "fax_number": "402-717-2525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1288 Valley View Dr",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515035245",
            "country_code": "US",
            "telephone_number": "402-717-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENWALD",
        "first_name": "HERMAN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IA",
            "license": "25343",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NE",
            "license": "15990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.