Individual provider Active NPI

Jyoti S Mahapatra, MD

  • Emergency Medicine Physician
  • Papillion, NE
National Provider Identifier
1427074186
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
23692 Issued in NE
Practice address
11111 S 84TH St
Papillion, NE 68046-4122
Phone
(402) 593-3550
NPI assigned
Jul 14, 2006
Last updated
Jun 16, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0722868MedicaidIA
P00374033OtherNERAILROAD MEDICARE
100249951-00MedicaidNE
35611OtherNEBCBS
39-02306OtherNESHAREADVANTAGE

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
I20070105000370 NE Practitioner - Emergency Medicine 9133129687 Reassigns benefits to 2 organizations

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
Bessmer PCGroup PAC ID 2769518497, 4 clinicians

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

LicenseStateTypeSpecialty
23692NEMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bessmer PC CurrentSince Jul 1, 2018 Accepting new patients
Unmc Physicians CurrentSince Mar 25, 2017 Accepting new patients
Bott PC PastSince Jul 1, 2018 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.