Active NPI
Inaganti Mastan Shah, M.D.
- Hematology & Oncology Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 21140
- Practice address
- 6901 N 72ND St
Suite 2244
Omaha, NE 68122-1709 - Phone
- (402) 572-3535
- Fax
- (402) 572-2688
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 21140 | NE | Primary |
| Hematology & Oncology Physician | 207RH0003X | 33127 | IA |
Addresses
Primary practice location
6901 N 72ND St
Suite 2244
Omaha, NE 68122-1709
Mailing address
PO Box 641850
Omaha, NE 68164-7850
Phone (402) 572-3535
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0538751 | Medicaid | IA | |
| 47077065413 | Medicaid | NE | |
| 830005301 | Other | NE | RAILROAD MEDICARE NORFOLK |
| P00325300 | Other | IA | RAILROAD MEDICARE |
| 830007286 | Other | NE | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 N 29TH St
Suite 1
Norfolk, NE 68701-4461
Phone (402) 644-7550
16909 Lakeside Hills CT
Omaha, NE 68130-4661
6901 N 72ND St
Suite 2244
Omaha, NE 68122-1709
Phone 40257235353575
800 Mercy Dr
Suite 10
Council Bluffs, IA 51503-3128
Phone (712) 388-2810
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegent Creighton Clinic | Hematology & Oncology | Current | Accepting new patients |
| Hematology & Oncology Consultants PC | Current | Accepting new patients | |
| Alegent Creighton Clinic | Current | Accepting new patients | |
| Hematology & Oncology Consultants, PC | Hematology & Oncology | Current | Accepting new patients |
| Hematology & Oncology Consultants, PC | Hematology & Oncology | Past | Accepting new patients |
| Alegent Creighton Clinic | Hematology & Oncology | Past | Accepting new patients |
Locations
800 Mercy Dr
Ste 10
Council Bluffs, IA 51503
Phone (712) 388-2810
100 Medical Pkwy
Denison, IA 51442
Phone (712) 265-2500
100 Medical Pkwy
Ste A
Denison, IA 51442
Phone (712) 263-5021
2771 Solution Ctr
Chicago, IL 60677
810 N 22nd St
Blair, NE 68008
Phone (402) 426-1116
110 N 29th St
Ste 1
Norfolk, NE 68701
Phone (402) 371-0925
6901 N 72nd St
Ste 2244
Omaha, NE 68122
Phone (402) 572-3535
16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920
Interoperability endpoints
- inaganti.shah@hoc.ikm.direct-ci.com
Organizations & group practices 6
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.
-
dba CHI Health Clinic
- Internal Medicine Physician
- Omaha, NE
- NPI 1154680700
Hematology & Oncology
-
dba Hematology & Oncology Consultants Pharmacy
- Community/Retail Pharmacy
- Omaha, NE
- NPI 1386051746
-
- Hematology & Oncology Physician
- Omaha, NE
- NPI 1366513517
-
dba CHI Health Clinic
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
Hematology & Oncology
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHI Health Immanuel
- General Acute Care Hospital
- Omaha, NE
- NPI 1912085184
-
dba Columbus Community Hospital
- General Acute Care Hospital
- Columbus, NE
- NPI 1760589295
-
dba Faith Health
- General Acute Care Hospital
- Norfolk, NE
- NPI 1285676544
-
dba The Nebraska Medical Center - Nebraska Medicine
- General Acute Care Hospital
- Omaha, NE
- NPI 1356307581
-
dba CHI Health Mercy Council Bluffs
- General Acute Care Hospital
- Council Bluffs, IA
- NPI 1265517759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373414400000",
"number": "1295829042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 641850",
"city": "OMAHA",
"state": "NE",
"postal_code": "681647850",
"telephone_number": "402-572-3535",
"fax_number": "402-572-2688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 N 72ND ST",
"address_2": "SUITE 2244",
"city": "OMAHA",
"state": "NE",
"postal_code": "681221709",
"telephone_number": "402-572-3535",
"fax_number": "402-572-2688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "INAGANTI",
"middle_name": "MASTAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2013-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NE",
"license": "21140",
"primary": true
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IA",
"license": "33127",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0538751",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47077065413",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE NORFOLK",
"identifier": "830005301",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00325300",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "830007286",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.