Tyron A Alli, M.D.
Individual provider Active NPI Gastroenterology Physician · Omaha, NE
NPI 1447225784 · NPPES record last updated Dec 8, 2009
Key facts
- NPI
- 1447225784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 19937 (NE)
- Practice address
- 8901 Indian Hills Dr
Suite 200
Omaha, NE 68114-4057 - Phone
- (402) 397-7057
- Fax
- (402) 397-6656
- NPI assigned
- Feb 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- University of Texas Medical Branch at Galveston, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Midwest Gastrointestinal Associates PC
Methodist Fremont Health
Practice addresses (Care Compare)
16901 Lakeside Hills CT
Omaha, NE 68130-2318
Phone (402) 717-8000
17001 Lakeside Hills PLZ
Omaha, NE 68130-4670
207 S Engdahl Ave
Oakland Heights Assisted Living
Oakland, NE 68045-1419
Phone (402) 685-5683
2500 Bellevue Medical Ctr Dr
Bellevue, NE 68123-1591
Phone (402) 763-3600
450 E 23Rd St
Fremont, NE 68025-2387
Phone (402) 721-1610
808 E Pierce St
Suite 301
Council Bluffs, IA 51503-4603
Phone (712) 396-2997
8303 Dodge St
Omaha, NE 68114-4108
Phone (402) 354-4000
8901 Indian Hills Dr
Omaha, NE 68114-4032
933 E Pierce St
Council Bluffs, IA 51503-4626
Phone (712) 396-6000
Hospital & facility affiliations
- The Nebraska Methodist Hospital
- Methodist Jennie Edmundson
- Methodist Fremont Health
- CHI Health Lakeside
- Bellevue Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 177 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 171 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IA, NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050608000839 | IA | Practitioner - Gastroenterology | 1557353018 | Reassigns benefits to 1 organization |
| I20050706001035 | NE | Practitioner - Gastroenterology | 1557353018 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30899 | IA | MD | Gastroenterology Physician |
| 19937 | NE | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Fremont Health | Current |
Accepting new patients | |
| Midwest Gastrointestinal Associates PC | Gastroenterology | Current |
Accepting new patients |
| Physicians Clinic, Inc. | Past |
Accepting new patients | |
| Lakeside Endoscopy Center LLC | Past | Accepting new patients | |
| Methodist Endoscopy Center LLC | Past | Accepting new patients | |
| Jennie Edmundson Memorial Hospital | Past | Accepting new patients | |
| Midwest Endoscopy Services LLC | Past | Accepting new patients |
Locations
808 E Pierce St
Ste 301
Council Bluffs, IA 51503
Phone (712) 396-2997
933 E Pierce St
Council Bluffs, IA 51503
Phone (712) 328-6000
450 E 23rd St
Fremont, NE 68025
Phone (402) 721-1610
207 S Engdahl Ave
Oakland, NE 68045
Phone (402) 685-5683
8901 Indian Hills Dr
Ste 100
Omaha, NE 68114
Phone (402) 933-1500
17001 Lakeside Hills Plz
Ste 201
Omaha, NE 68130
Phone (402) 614-2300
8901 Indian Hills Dr
Ste 200
Omaha, NE 68114
Phone (402) 397-7057
17001 Lakeside Hills Plz
Ste 100
Omaha, NE 68130
Phone (402) 614-6336
10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405
17001 Lakeside Hills Plz
Ste 200
Omaha, NE 68130
Phone (402) 885-8700
Interoperability endpoints
- talli@midwestgi.gwaydirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 19937 | NE | Yes |
| Gastroenterology Physician | 207RG0100X | 30899 | IA |
Addresses
Primary practice location
8901 Indian Hills Dr
Suite 200
Omaha, NE 68114-4057
Mailing address
8901 Indian Hills Dr
Suite 200
Omaha, NE 68114-4057
Phone (402) 397-7057
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47077295213 | Medicaid | NE |
Other providers in Omaha, NE
- Allergy, Asthma & Immunology Associates P.C.
- Allergy, Asthma and Immunology Associates, PC
- Aliyah Allerheiligen
- Savannah Christine Alles
- Alexis Allgood
- Alliable Services LLC
- Alliance Counseling Center
- Allied Chiropractic Associates L.L.C.
- Allied Home Health Services LLC
- Katherine Allieu
All providers in Omaha, NE · Gastroenterology Physician in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.