Organization Active NPI

Heartland Cardiology PC

  • Cardiovascular Disease Physician
  • Omaha, NE
National Provider Identifier
1366434854
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
18014 Issued in NE
Legal business name
HEARTLAND CARDIOLOGY PC
Practice address
8552 Cass St
#308
Omaha, NE 68114-3570
Phone
(402) 991-5300
Fax
(402) 991-5407
NPI assigned
Aug 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Authorized official

Name
Peter D McLeay, MDNPI 1144328022
Title
President
Phone
(402) 991-5300

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X 18014 NE Primary
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X 30071 IA

Addresses

Primary practice location

8552 Cass St
#308
Omaha, NE 68114-3570

Mailing address

8552 Cass St
#308
Omaha, NE 68114-3570
Phone (402) 991-5300

Other identifiers 5

IdentifierTypeStateIssuer
0544817MedicaidIA
59814OtherIABC
31944OtherNEBC
110145179OtherRRMC
2500216OtherUHC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050513000658 NE Part B Supplier - Clinic/Group Practice 6709827355 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE; Bellevue, NE

National Provider Directory

National Provider Directory

Locations

8552 Cass St
#201B
Omaha, NE 68114
Phone (402) 354-8181

8552 Cass St
Ste 308
Omaha, NE 68114
Phone (402) 991-5300

8552 Cass St
#308
Omaha, NE 68114
Phone (402) 991-5300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1366434854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8552 CASS ST",
            "address_2": "#308",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143570",
            "telephone_number": "402-991-5300",
            "fax_number": "402-991-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8552 CASS ST",
            "address_2": "#308",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143570",
            "telephone_number": "402-991-5300",
            "fax_number": "402-991-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND CARDIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-19",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "MCLEAY",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-991-5300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NE",
            "license": "18014",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IA",
            "license": "30071",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0544817",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "59814",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "31944",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "110145179",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "2500216",
            "state": null
        }
    ],
    "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 Jun 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.