Active NPI
Donald W Allison, PA
- Physician Assistant
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 769
- Practice address
- 4920 So. 30TH Street
Suite 103
Omaha, NE 68107-1656 - Phone
- (402) 734-4110
- Fax
- (402) 734-3990
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 769 | NE | Primary |
Addresses
Primary practice location
4920 So. 30TH Street
Suite 103
Omaha, NE 68107-1656
Mailing address
4920 So. 30TH Street
Suite 103
Omaha, NE 68107-1656
Phone (402) 734-4110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 769 | Other | NE | NE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210802003588 | KS | Practitioner - Physician Assistant | 6608928262 | Reassigns benefits to 2 organizations |
| I20210816000073 | MO | Practitioner - Physician Assistant | 6608928262 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 769 | NE | MD | Optometrist |
Organizations & group practices 2
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.
-
- Urgent Care Clinic/Center
- Kansas City, MO
- NPI 1497357396
KS, MO
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Independence, MO
- NPI 1942247044
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Nebraska College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- United Imaging Consultants LLC
Practice addresses (Care Compare)
19600 E 39TH St S
Independence, MO 64057-2301
Phone (816) 698-7000
20333 W 151St St
Olathe, KS 66061-5350
Phone (913) 791-4291
2100 Baptiste Dr
Paola, KS 66071-1314
Phone (913) 294-2327
Hospital & facility affiliations
- Centerpoint Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.1 of 100
- Quality
- 88.62
- Improvement activities
- 40
- Cost
- 77.86
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370563200000",
"number": "1376500876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4920 SO. 30TH STREET",
"address_2": "SUITE 103",
"city": "OMAHA",
"state": "NE",
"postal_code": "681071656",
"telephone_number": "402-734-4110",
"fax_number": "402-734-3990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4920 SO. 30TH STREET",
"address_2": "SUITE 103",
"city": "OMAHA",
"state": "NE",
"postal_code": "681071656",
"telephone_number": "402-734-4110",
"fax_number": "402-734-3990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLISON",
"first_name": "DONALD",
"middle_name": "W",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2013-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NE",
"license": "769",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NE LICENSE",
"identifier": "769",
"state": "NE"
}
],
"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 7, 2013; 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.