Individual provider Active NPI

Nicholas Edward Dietz, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Omaha, NE
National Provider Identifier
1396833737
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
26270 Issued in NE
Practice address
601 N 30TH St
Cumc Department of Pathology
Omaha, NE 68131-2137
Phone
(402) 449-4951
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 26270 NE Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD-40821 IA

Addresses

Primary practice location

601 N 30TH St
Cumc Department of Pathology
Omaha, NE 68131-2137

Mailing address

601 N 30TH St
Cumc Department of Pathology
Omaha, NE 68131-2137
Phone (402) 449-4951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110609000105 NE Practitioner - Pathology 5294912739 Reassigns benefits to 1 organization
I20170515001625 IA Practitioner - Pathology 5294912739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Nebraska College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, shared by 2 NPIs, 951 clinicians

Practice addresses (Care Compare)

104 W 17TH St
Schuyler, NE 68661-1304
Phone (402) 717-0717

11111 S 84TH St
Papillion, NE 68046-4122
Phone (402) 898-2520

1301 Grundman Blvd
Nebraska City, NE 68410-3319
Phone (855) 524-4001

16901 Lakeside Hills CT
Omaha, NE 68130-2318
Phone (855) 524-4001

16909 Lakeside Hills CT
Omaha, NE 68130-4661

211 W 33Rd St
Kearney, NE 68845-3484
Phone (308) 865-2141

2620 W Faidley Ave
CHI Health St Francis
Grand Island, NE 68803-4205
Phone (402) 384-4600

3219 Central Ave
Suite 200
Kearney, NE 68847-2958
Phone (402) 865-2843

3320 A Ave
Kearney, NE 68847-2931
Phone (308) 865-2363

4508 38TH St
Suite 157
Columbus, NE 68601-1668
Phone (402) 562-8445

5002 Underwood Ave
Omaha, NE 68132-2236
Phone (402) 398-6255

555 S 70TH St
CHI Health St. Elizabeth
Lincoln, NE 68510-2462
Phone (402) 219-8000

6901 N 72ND St
Omaha, NE 68122-1709

7001 A St
Suite 200
Lincoln, NE 68510-4205
Phone (402) 488-0040

7500 Mercy Rd
Omaha, NE 68124-2319
Phone (402) 398-5580

7710 Mercy Rd
Omaha, NE 68124-2323

800 Mercy Dr
Council Bluffs, IA 51503-3128
Phone (712) 328-5490

810 N 22ND St
Blair, NE 68008-1128
Phone (402) 426-2182

8141 W Ctr
Omaha, NE 68124-3273
Phone (402) 717-3000

8248 S 96TH St
La Vista, NE 68128-3126
Phone (402) 717-9500

8613 N 30TH St
Omaha, NE 68112-1800
Phone (402) 453-9900

Hospital & facility affiliations

  • CHI Health Bergan Mercy Hospital, Omaha, NE, CCN 280060
  • CHI Health Lakeside Hospital, Omaha, NE, CCN 280130
  • CHI Health Immanuel Hospital, Omaha, NE, CCN 280081
  • CHI Health Mercy Council Bluffs Hospital, Council Bluffs, IA, CCN 160028
  • CHI Health St. Elizabeth Hospital, Lincoln, NE, CCN 280020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26270NEMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic CurrentSince Apr 12, 2017 Accepting new patients
Alegent Creighton Clinic CurrentSince Sep 1, 2012 Accepting new patients
Creighton University Anatomic Pathology & Clinical Pathology Past Accepting new patients
Creighton University Past Accepting new patients

Locations

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

2771 Solution Ctr
Chicago, IL 60677

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

7710 Mercy Rd
Ste 426
Omaha, NE 68124
Phone (402) 343-8650

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

Interoperability endpoints

  • Direct secure messaging: ndietz53375@achce.catholichealth.net

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1396833737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N 30TH ST",
            "address_2": "CUMC DEPARTMENT OF PATHOLOGY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312137",
            "telephone_number": "402-449-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N 30TH ST",
            "address_2": "CUMC DEPARTMENT OF PATHOLOGY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312137",
            "telephone_number": "402-449-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETZ",
        "first_name": "NICHOLAS",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NE",
            "license": "26270",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IA",
            "license": "MD-40821",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.