Individual provider Active NPI

Joseph Dumba, M.D.

  • Family Medicine Physician
  • Omaha, NE
National Provider Identifier
1417007402
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22799 Issued in NE
Practice address
8901 W Dodge Rd
Omaha, NE 68114-3327
Phone
(402) 354-8990
Fax
(402) 354-8965
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22799 NE Primary

Addresses

Primary practice location

8901 W Dodge Rd
Omaha, NE 68114-3327

Mailing address

PO Box 3755
Omaha, NE 68103-0755
Phone (402) 354-2100

Other identifiers 7

IdentifierTypeStateIssuer
1417007402MedicaidIA
136484700MedicaidWY
1417007402MedicaidND
1417007402MedicaidMO
47068731798MedicaidNE
1417007402MedicaidSD
1417007402MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040903001038 NE Practitioner - Family Practice 0143211177 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality Living IncGroup PAC ID 2860301322, 4 clinicians
Physicians Clinic IncGroup PAC ID 4880506062, 557 clinicians

Practice addresses (Care Compare)

6320 N 70TH PLZ
Qli Physician's Clinic
Omaha, NE 68104-1072
Phone (402) 573-3700

8901 W Dodge Rd
Omaha, NE 68114-3327
Phone (402) 390-1200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34742COMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Living Inc Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
Physicians Clinic Inc Family Medicine CurrentSince Jun 30, 2010 Accepting new patients
Quality Living, Inc Past Accepting new patients
Nebraska Methodist Hospital Past Accepting new patients

Locations

6404 N 70th Plz
Omaha, NE 68104
Phone (402) 573-3700

6320 N 70th Plz
Omaha, NE 68104
Phone (402) 573-3700

8901 W Dodge Rd
Omaha, NE 68114
Phone (402) 354-8600

10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405

Interoperability endpoints

  • Direct secure messaging: joseph.dumba@direct.nmhs.org

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 3

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1417007402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3755",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681030755",
            "telephone_number": "402-354-2100",
            "fax_number": "402-354-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 W DODGE RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143327",
            "telephone_number": "402-354-8990",
            "fax_number": "402-354-8965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMBA",
        "first_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "22799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417007402",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136484700",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417007402",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417007402",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47068731798",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417007402",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417007402",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.