Active NPI
Jerry L Fischer, MD, PHD
- Nephrology Physician
- Omaha, NE
National Provider Identifier
1376654780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 13846
- Practice address
- 2665 Douglas St
Omaha, NE 68131-2626 - Phone
- (402) 341-7761
- Fax
- (402) 341-4841
- NPI assigned
- Aug 31, 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 13846 | NE | Primary |
Addresses
Primary practice location
2665 Douglas St
Omaha, NE 68131-2626
Mailing address
2665 Douglas St
Omaha, NE 68131-2626
Phone (402) 341-7761
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2930982 | Medicaid | IA | |
| 53577 | Other | IA | BCBS IA |
| 470781645 | Medicaid | NE | |
| 30966 | Other | BCBS NE | |
| 470781645 | Other | NE | TRICARE |
| 461 | Other | MIDLANDS CHOICE | |
| P00673790 | Other | IA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13846 | NE | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554854400000",
"number": "1376654780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2665 DOUGLAS ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681312626",
"telephone_number": "402-341-7761",
"fax_number": "402-341-4841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2665 DOUGLAS ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681312626",
"telephone_number": "402-341-7761",
"fax_number": "402-341-4841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCHER",
"first_name": "JERRY",
"middle_name": "L",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2019-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NE",
"license": "13846",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2930982",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS IA",
"identifier": "53577",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470781645",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NE",
"identifier": "30966",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "470781645",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "461",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00673790",
"state": "IA"
}
],
"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 Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.