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Organization Active NPI

Madonna Rehabilitation Hospital

Doing business as Madonna Rehabilitation Hospital Omaha

  • Rehabilitation Hospital Unit
  • Omaha, NE
National Provider Identifier
1376991752
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
MADONNA REHABILITATION HOSPITAL
Doing business as
Madonna Rehabilitation Hospital Omaha
Practice address
17500 Burke St
Omaha, NE 68118-2244
Phone
(402) 401-3100
Fax
(402) 401-5118
NPI assigned
May 26, 2016
Last updated
Feb 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Authorized official

Name
Paul A Dongilli Jr., PHD; FACHE
Title
President & Ceo
Phone
(402) 413-3000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X NU Primary
Rehabilitation Hospital 283X00000X NU

Addresses

Primary practice location

17500 Burke St
Omaha, NE 68118-2244

Mailing address

5401 South St
Lincoln, NE 68506-2150
Phone (402) 413-3000

Other names 1

  • Madonna Rehabilitation Hospital Omaha Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210208002644 NE Part A Provider - Hospital 0446164081 Practice locations: Omaha, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376991752. Details of each certification follow.

Hospital certification: CCN 28TA03

Legal name
MADONNA REHABILITATION HOSPITAL
Doing business as
MADONNA REHABILITATION SPECIALTY HOSPITAL OMAHA
Organization structure
CorporationNon-profit
Enrollment address
17500 Burke St
Omaha, NE 68118-2244
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Madonna Rehabilitation Specialty Hospital OmahaCCN 28TA03 · All quality measures
Ownership
Non-profit
Certified
Jul 1, 2021

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 21

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Katherine C Lempka Individual Corporate DirectorBoard Member Sep 27, 2017
Patrick E Spethman Individual Corporate DirectorBoard Member Dec 12, 2018
Harris a Frankel Individual Corporate DirectorBoard Member Sep 26, 2025
Terence L Zach Individual Corporate OfficerVice Chairperson Sep 26, 2025
Corporate DirectorBoard Member Jun 17, 2020
Kenneth L Hopkins Individual W-2 Managing EmployeeVice President & Cfo Dec 11, 2024
Operational/Managerial ControlVice President & Cfo Dec 11, 2024
Richard Priore Individual Corporate DirectorBoard Member Sep 26, 2025
Adam Hayes Individual Corporate DirectorBoard Member Sep 27, 2024
Scott Cassels Individual Corporate DirectorBoard Member Sep 30, 2022
Phillip E Essay Individual Corporate DirectorBoard Member Sep 29, 2023
Nicholas Wilwerding Individual Corporate OfficerTreasurer Sep 26, 2025
Corporate DirectorBoard Member Sep 30, 2022
Sarah Walker Individual Corporate DirectorBoard Member Sep 30, 2022
Daniel L Vokoun Individual Corporate OfficerChairperson Sep 26, 2025
Corporate DirectorBoard Member Oct 1, 2021
Gary a Perkins Individual Corporate DirectorBoard Member Sep 27, 2017
Paul a Dongilli Individual Corporate OfficerPresident Jan 16, 2016
Corporate DirectorPresident & Ceo Jan 16, 2016
W-2 Managing EmployeePresident & Ceo Jan 16, 2016
Operational/Managerial ControlPresident & Ceo Jan 16, 2016
Gregory G Vasek Individual Corporate DirectorBoard Member Sep 23, 2015
David E Gannon Individual Corporate DirectorBoard Member Sep 27, 2017
Lauren K Pugliese Individual Corporate DirectorBoard Member Sep 25, 2019
John Coffey Individual Corporate DirectorBoard Member Sep 29, 2023
John R Sullivan Individual Corporate OfficerVice President Jul 1, 2013
Corporate DirectorBoard Member Jul 1, 2013
Heidi Doane Individual Corporate OfficerSecretary Sep 26, 2025
Corporate DirectorBoard Member Sep 29, 2023
Alexander McKiernan Individual Corporate DirectorBoard Member Sep 29, 2023

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 13

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 13

Affiliated clinicians 26

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1376991752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 SOUTH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062150",
            "telephone_number": "402-413-3000",
            "fax_number": "402-413-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17500 BURKE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182244",
            "telephone_number": "402-401-3100",
            "fax_number": "402-401-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADONNA REHABILITATION HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "DONGILLI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "402-413-3000",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHD; FACHE"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madonna Rehabilitation Hospital Omaha",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Madonna Rehabilitation Hospital Omaha",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.