Active NPI
Oleg N. Militsakh, MD
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- License
- 24133
- Practice address
- 8303 Dodge St
Suite # 304
Omaha, NE 68114-4108 - Phone
- (402) 354-5048
- Fax
- (402) 354-2585
- NPI assigned
- Jul 7, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | 24133 | NE | |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | 24133 | NE | Primary |
| Surgical Oncology Physician | 2086X0206X | 24133 | NE | |
| Surgery Physician | 208600000X | 24133 | NE |
Addresses
Primary practice location
8303 Dodge St
Suite # 304
Omaha, NE 68114-4108
Mailing address
PO Box 10190
Virginia Beach, VA 23450-0190
Phone (800) 477-5240
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025044400 | Medicaid | NE | |
| 1306879291 | Medicaid | MO | |
| 1306879291 | Medicaid | IA |
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
- Otolaryngology
- Education
- University of Kentucky College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Edmundson PL
Council Bluffs, IA 51503-4658
Phone (712) 396-4130
515 N 162ND Ave
Suite 302
Omaha, NE 68118-2540
Phone (402) 354-0621
8303 Dodge St
Omaha, NE 68114-4108
8303 W Dodge St
Omaha, NE 68114-4108
Phone (402) 354-9400
Hospital & facility affiliations
- The Nebraska Methodist Hospital
- Great Plains Health
- Methodist Fremont Health
- Methodist Jennie Edmundson
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nebraska Methodist Hospital | Current | Accepting new patients | |
| Nebraska Methodist Hospital | Current | Accepting new patients | |
| Father Flanagan'S Boys' Home | Current | Accepting new patients | |
| Physicians Clinic Inc | Surgery | Current | Accepting new patients |
Locations
1 Edmundson Pl
Ste 100
Council Bluffs, IA 51503
Phone (712) 396-4429
1 Edmundson Pl
Council Bluffs, IA 51503
Phone (712) 396-4000
14080 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6900
8303 Dodge St
Ste 304
Omaha, NE 68114
Phone (402) 354-4104
8601 W Dodge Rd
Ste 216
Omaha, NE 68114
Phone (402) 354-4822
515 N 162nd Ave
Ste 302
Omaha, NE 68118
Phone (402) 354-0621
8200 Dodge St
Omaha, NE 68114
Phone (402) 955-4350
825 S 169th St
Omaha, NE 68118
Phone (402) 354-3370
10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405
Interoperability endpoints
- oleg.militsakh@direct.nmhs.org
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Omaha, NE
- NPI 1295821825
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Fremont, NE
- NPI 1033698543
-
- Rural Acute Care Hospital
- Fremont, NE
- NPI 1376498543
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
-
- General Acute Care Hospital
- North Platte, NE
- NPI 1700855533
-
- Clinical Medical Laboratory
- North Platte, NE
- NPI 1902660509
Hospital
-
- General Acute Care Hospital
- Council Bluffs, IA
- NPI 1457448755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387152000000",
"number": "1306879291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10190",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234500190",
"telephone_number": "800-477-5240",
"fax_number": "757-463-6572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8303 DODGE ST",
"address_2": "SUITE # 304",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144108",
"telephone_number": "402-354-5048",
"fax_number": "402-354-2585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILITSAKH",
"first_name": "OLEG",
"middle_name": "N.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2013-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "NE",
"license": "24133",
"primary": false
},
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "NE",
"license": "24133",
"primary": true
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "NE",
"license": "24133",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NE",
"license": "24133",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025044400",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1306879291",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1306879291",
"state": "IA"
}
],
"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 Dec 16, 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.