Individual provider Active NPI

Charles Christian Schlaepfer, MD

  • Diagnostic Radiology Physician
  • Omaha, NE
National Provider Identifier
1346319746
Registry record updated May 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
20388 Issued in NE
Practice address
6901 N 72ND St
Alegent Immanuel Hospital Dept of Radiology
Omaha, NE 68122
Phone
(402) 572-2324
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 20388 NE Primary

Addresses

Primary practice location

6901 N 72ND St
Alegent Immanuel Hospital Dept of Radiology
Omaha, NE 68122

Mailing address

PO Box 4460
Omaha, NE 68104-0460
Phone (866) 491-5807

Other identifiers 4

IdentifierTypeStateIssuer
1346319746MedicaidIA
3231209MedicaidIA
6231209MedicaidIA
5231209MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20051220000763 NE Practitioner - Diagnostic Radiology 9830111772 Reassigns benefits to 2 organizations
I20070808000524 IA Practitioner - Diagnostic Radiology 9830111772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, Geffen School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Consultants PCGroup PAC ID 8325947799, 45 clinicians

Practice addresses (Care Compare)

11111 S 84TH St
Papillion, NE 68046-4122
Phone (402) 593-3000

1213 Garfield Ave
Harlan, IA 51537-2057
Phone (712) 755-4316

1501 E 10TH St
Atlantic, IA 50022-1936
Phone (712) 243-7410

220 Essie Davison Dr
Clarinda, IA 51632-2915
Phone (712) 542-2176

2959 US Hwy 275
Hamburg, IA 51640-5052
Phone (712) 382-1515

603 Rosary Dr
Corning, IA 50841-1683
Phone (641) 322-6278

631 N 8TH St
Dept of Radiology
Missouri Valley, IA 51555-1102
Phone (712) 642-9204

800 Mercy Dr
Council Bluffs, IA 51503-3128
Phone (712) 328-5100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20388NEMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Think Aksarben, LLC CurrentSince Jun 1, 2018 Accepting new patients
Radiology Consultants PC Diagnostic Radiology CurrentSince Jul 1, 2000 Accepting new patients
Professional Medical Imaging LLC Past Accepting new patients
Alegent Health Immanuel Medical Center Past Accepting new patients
Midwest Medical Imaging Center Inc Diagnostic Radiology Past Accepting new patients
Simonmed Imaging Nebraska LLC PastSince Apr 1, 2015 Accepting new patients

Locations

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

631 N 8th St
Mo Valley, IA 51555
Phone (712) 642-2045

810 N 22nd St
Blair, NE 68008
Phone (402) 426-1116

14040 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6800

450 E 23rd St
Fremont, NE 68025
Phone (402) 721-1610

7100 W Center Rd
Omaha, NE 68106
Phone (402) 506-9000

14441 DuPont Ct
Ste 304
Omaha, NE 68144
Phone (402) 597-8775

6901 N 72nd St
Omaha, NE 68122
Phone (402) 572-2121

11111 S 84th St
Papillion, NE 68046
Phone (402) 593-3000

Interoperability endpoints

  • Direct secure messaging: cschlaepfer188265@uihcdirect.org

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.

Hospital & facility affiliations 6

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1346319746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4460",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681040460",
            "telephone_number": "866-491-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 N 72ND ST",
            "address_2": "ALEGENT IMMANUEL HOSPITAL DEPT OF RADIOLOGY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68122",
            "telephone_number": "402-572-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLAEPFER",
        "first_name": "CHARLES",
        "middle_name": "CHRISTIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "20388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346319746",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3231209",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6231209",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5231209",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.