NPIMap

Organization Active NPI

Madonna Rehabilitation Hospital

Doing business as Rehabilitation Specialists

  • Physical Medicine & Rehabilitation Physician
  • Lincoln, NE
National Provider Identifier
1417045642
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
MADONNA REHABILITATION HOSPITAL
Doing business as
Rehabilitation Specialists
Practice address
5401 South St
Lincoln, NE 68506-2150
Phone
(402) 413-3000
Fax
(402) 413-4113
NPI assigned
Oct 11, 2006
Last updated
Sep 10, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
MADONNA REHABILITATION HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Authorized official

Name
Mr. Paul A Dongilli Jr.
Title
President & Ceo
Phone
(402) 413-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

5401 South St
Lincoln, NE 68506-2150

Mailing address

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

Other names 1

  • Rehabilitation Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, FL, NC, LA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20031118000079 NE Part B Supplier - Clinic/Group Practice 0446164081 Receives reassigned benefits from 170 practitioners
Practice locations: Lincoln, NE
O20260120004115 FL Part B Supplier - Clinic/Group Practice 0446164081 Receives reassigned benefits from 1 practitioner
Practice locations: Gotha, FL
O20260128001999 NC Part B Supplier - Clinic/Group Practice 0446164081 Receives reassigned benefits from 1 practitioner
Practice locations: Charlotte, NC
O20260305002161 LA Part B Supplier - Clinic/Group Practice 0446164081 Receives reassigned benefits from 1 practitioner
Practice locations: Calhoun, LA

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Part of
Rehabilitation Speciali

Locations

2200 S 52nd St
Lincoln, NE 68506
Phone (402) 413-3000

5633 NW 1st St
Lincoln, NE 68521
Phone (402) 413-3939

202 N 175th Plz
Omaha, NE 68118

Practitioners & affiliated clinicians

Practitioners 224

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 224

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1417045642",
    "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": "5401 SOUTH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062150",
            "telephone_number": "402-413-3000",
            "fax_number": "402-413-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADONNA REHABILITATION HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MADONNA REHABILITATION HOSPITAL",
        "enumeration_date": "2006-10-11",
        "last_updated": "2019-09-10",
        "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_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehabilitation Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rehabilitation Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.