Active NPI
Jyoti S Mahapatra, MD
- Emergency Medicine Physician
- Papillion, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 23692
- Practice address
- 11111 S 84TH St
Papillion, NE 68046-4122 - Phone
- (402) 593-3550
- NPI assigned
- Jul 14, 2006
- Last updated
- Jun 16, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 23692 | NE | Primary |
Addresses
Primary practice location
11111 S 84TH St
Papillion, NE 68046-4122
Mailing address
4750 Hempstead Station Dr
Kettering, OH 45429-5164
Phone (800) 875-0136
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0722868 | Medicaid | IA | |
| P00374033 | Other | NE | RAILROAD MEDICARE |
| 100249951-00 | Medicaid | NE | |
| 35611 | Other | NE | BCBS |
| 39-02306 | Other | NE | SHAREADVANTAGE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Creighton University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11810 Nicholas St
Suite 101
Omaha, NE 68154-4453
Phone (402) 779-8400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23692 | NE | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bessmer PC | Current | Accepting new patients | |
| Unmc Physicians | Current | Accepting new patients | |
| Bott PC | Past | Accepting new patients |
Locations
105 S 90th St
Ste 201
Omaha, NE 68114
Phone (402) 779-8400
11810 Nicholas St
Ste 100
Omaha, NE 68154
Phone (402) 779-8400
11810 Nicholas St
Ste 101
Omaha, NE 68154
Phone (402) 307-5510
2808 S 143rd Plz
Omaha, NE 68144
Phone (321) 223-0225
4350 Dewey Ave
Omaha, NE 68105
Phone (402) 552-2552
987400 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-3405
Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731
11111 S 84th St
Papillion, NE 68046
Phone (402) 593-3000
Interoperability endpoints
- jyoti.mahapatra@826141741416452.direct.elationemr.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Omaha, NE
- NPI 1366773954
-
- Multi-Specialty Clinic/Center
- Omaha, NE
- NPI 1417912114
-
- Family Medicine Physician
- Omaha, NE
- NPI 1003284050
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Methodist Hospital
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
-
dba The Nebraska Medical Center - Nebraska Medicine
- General Acute Care Hospital
- Omaha, NE
- NPI 1356307581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213574400000",
"number": "1427074186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4750 HEMPSTEAD STATION DR",
"city": "KETTERING",
"state": "OH",
"postal_code": "454295164",
"telephone_number": "800-875-0136",
"fax_number": "937-619-4231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11111 S 84TH ST",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680464122",
"telephone_number": "402-593-3550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHAPATRA",
"first_name": "JYOTI",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2008-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NE",
"license": "23692",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0722868",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00374033",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100249951-00",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "35611",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SHAREADVANTAGE",
"identifier": "39-02306",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Papillion, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.