Individual provider Active NPI

Sean Kelly

  • Diagnostic Radiology Physician
  • Omaha, NE
National Provider Identifier
1326499088
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A207175 Issued in CA
Practice address
987400 Nebraska Medical Ctr
Omaha, NE 68198-7400
Phone
(402) 559-1010
NPI assigned
Jun 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X 33973 NE
Diagnostic Radiology Physician 2085R0202X A207175 CA Primary

Addresses

Primary practice location

987400 Nebraska Medical Ctr
Omaha, NE 68198-7400

Mailing address

11560 S 124TH St
Papillion, NE 68046-5924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, CA, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220531002434 NE Practitioner - Diagnostic Radiology 8022303395 Reassigns benefits to 13 organizations
I20260506003696 CA Practitioner - Diagnostic Radiology 8022303395 Reassigns benefits to 1 organization
I20260603000668 TX Practitioner - Diagnostic Radiology 8022303395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Nebraska College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beverly Radiology Medical Group IIIGroup PAC ID 3476466376, 327 clinicians
Fresno Imaging CenterGroup PAC ID 2466553128, 127 clinicians
Desert Advanced Imaging Medical CenterGroup PAC ID 6406749613, 209 clinicians
Unmc PhysiciansGroup PAC ID 6002728391, 1,490 clinicians

Practice addresses (Care Compare)

Papillion, NE 68046
Phone (877) 785-0009

11560 S 124TH St
Papillion, NE 68046-5924
Phone (877) 785-0009

Emile 42ND St
Omaha, NE 68198-0001
Phone (402) 559-4015

Hospital & facility affiliations

  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013
  • Bellevue Medical Center Hospital, Bellevue, NE, CCN 280132
  • Nebraska Orthopaedic Hospital Hospital, Omaha, NE, CCN 280129
  • Shenandoah Medical Center Hospital, Shenandoah, IA, CCN 161366

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33973NEMDDiagnostic Neuroimaging (Radiology) Physician
A207175CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fresno Imaging Center Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Radnet Medical Imaging-San Francisco Diagnostic Radiology CurrentSince Mar 1, 2026 Accepting new patients
Innovative Radiology PA Diagnostic Radiology CurrentSince May 1, 2026 Accepting new patients
Stockton Diagnostic Imaging Diagnostic Radiology CurrentSince Mar 1, 2026 Accepting new patients
Nebraska Health Imaging LLC Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
Santa Rosa Imaging Medical Center Diagnostic Radiology CurrentSince Mar 1, 2026 Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Unmc Physicians CurrentSince Jul 25, 2022 Accepting new patients

Locations

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

987400 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-3405

7819 Dodge St
Omaha, NE 68114
Phone (402) 384-8882

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600

3310 Richmond Ave
Houston, TX 77098
Phone (713) 400-3400

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 4

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": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1326499088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11560 S 124TH ST",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680465924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987400 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681987400",
            "telephone_number": "402-559-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "SEAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-23",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "NE",
            "license": "33973",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A207175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.