Herschel E Stoller, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

NE13516 Issued in NE

Practice address

10110 Nicholas St
Suite #103
Omaha, NE 68114-2184

Phone

(402) 398-9200

Fax

(402) 398-9400

NPI assigned

Nov 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

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 1

Specialty

Dermatology

Education

University of Nebraska College of Medicine, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013

Merit-based Incentive Payment System (MIPS)

Final score

75.61 of 100Reported as individual

Quality

51.21

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: herschel.stoller@cod.directbygreenway.com

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.

• Center of Dermatology, PC

  • Dermatology Physician
  • Omaha, NE
  • NPI 1053461137
  Medicare reassignment NPD Authorized official
• Alegent Health Immanuel Medical Center

  • Cardiovascular Disease Physician
  • Omaha, NE
  • NPI 1912192907
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Nebraska Medical Center

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1356307581
  Care Compare affiliation

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266451200000",
    "number": "1356324495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10110 NICHOLAS ST",
            "address_2": "SUITE #103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142184",
            "telephone_number": "402-398-9200",
            "fax_number": "402-398-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 NICHOLAS ST",
            "address_2": "SUITE #103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142184",
            "telephone_number": "402-398-9200",
            "fax_number": "402-398-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLLER",
        "first_name": "HERSCHEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2010-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NE",
            "license": "NE13516",
            "primary": true
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "NE",
            "license": "NE13516",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NE",
            "license": "NE13516",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47064032502",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natasha Stokes
• Alex T Stolarskyj, MD
• Rebecca Ann Stoley
• Andrej Jerry Stolinski
• Douglas Alan Stoller, MD
• Lillian Misle Stoller, M.D.
• Deirdre Anne Stolmeier, M.D.
• Joseph C. Stolp, D.O.
• Martin A Stoltenberg, APRN
• Mia Catherine Stoltenberg, PA-C

• Dermatology Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Dermatology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.

Verify at the official NPI Registry.