NPIMap

Organization Active NPI

Cardiovascular Clinic of Nebraska

Doing business as Pioneer Heart Institute

  • Cardiovascular Disease Physician
  • Lincoln, NE
National Provider Identifier
1346731759
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOVASCULAR CLINIC OF NEBRASKA
Doing business as
Pioneer Heart Institute
Practice address
6940 Van Dorn St Ste 201
Lincoln, NE 68506-2858
Phone
(402) 414-4200
Fax
(402) 414-4202
NPI assigned
May 21, 2018
Last updated
Mar 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Douglas Netz, MDNPI 1356436638
Title
Managing Partner
Phone
(402) 450-2627

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

6940 Van Dorn St Ste 201
Lincoln, NE 68506-2858

Mailing address

6940 Van Dorn St Ste 201
Lincoln, NE 68506-2858
Phone (402) 413-6363

Other names 1

  • Pioneer Heart Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, NE, IA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20180608000232 KS Part B Supplier - Clinic/Group Practice 7113282401 Receives reassigned benefits from 4 practitioners
Practice locations: Marysville, KS
O20180628002620 NE Part B Supplier - Clinic/Group Practice 7113282401 Receives reassigned benefits from 11 practitioners
Practice locations: Lincoln, NE; Nebraska City, NE; Norfolk, NE
O20180629000166 IA Part B Supplier - Clinic/Group Practice 7113282401 Receives reassigned benefits from 3 practitioners
Practice locations: Hamburg, IA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2151606Pioneer Heart Institute6940 Van Dorn St Suite 201, Lincoln, NE 68506ComplianceApr 10, 2027

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

933 E Pierce St
Council Bluffs, IA 51503
Phone (712) 328-6000

2959 US Highway 275
Hamburg, IA 51640
Phone (316) 644-5393

705 N 17th Ave
Ashland, NE 68003
Phone (402) 944-2201

1408 5th St
Aurora, NE 68818
Phone (402) 694-8274

6940 Van Dorn St
Lincoln, NE 68506

6940 Van Dorn St
Ste 201
Lincoln, NE 68506
Phone (402) 323-8484

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1346731759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6940 VAN DORN ST STE 201",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062858",
            "telephone_number": "402-413-6363",
            "fax_number": "402-413-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6940 VAN DORN ST STE 201",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062858",
            "telephone_number": "402-414-4200",
            "fax_number": "402-414-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR CLINIC OF NEBRASKA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-21",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "NETZ",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "402-450-2627",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Heart Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.