Individual provider Active NPI

Tyron A Alli, M.D.

  • Gastroenterology Physician
  • Omaha, NE
National Provider Identifier
1447225784
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
19937 Issued in 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
Last updated
Dec 8, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 19937 NE Primary
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 1

IdentifierTypeStateIssuer
47077295213MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050608000839 IA Practitioner - Gastroenterology 1557353018 Reassigns benefits to 1 organization
I20050706001035 NE Practitioner - Gastroenterology 1557353018 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 PCGroup PAC ID 3779575766, 54 clinicians
Methodist Fremont HealthGroup PAC ID 7911258520, 89 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy177
Upper gastrointestinal (GI) endoscopy for acid reflux171

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30899IAMDGastroenterology Physician
19937NEMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Gastrointestinal Associates PC Gastroenterology CurrentSince May 15, 1996 Accepting new patients
Methodist Fremont Health CurrentSince Oct 1, 2018 Accepting new patients
Midwest Endoscopy Services LLC Past Accepting new patients
Methodist Endoscopy Center LLC Past Accepting new patients
Physicians Clinic, Inc. PastSince Jan 1, 1990 Accepting new patients
Lakeside Endoscopy Center LLC Past Accepting new patients
Jennie Edmundson Memorial Hospital 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

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

17001 Lakeside Hills Plz
Ste 100
Omaha, NE 68130
Phone (402) 614-6336

17001 Lakeside Hills Plz
Ste 200
Omaha, NE 68130
Phone (402) 885-8700

17001 Lakeside Hills Plz
Ste 201
Omaha, NE 68130
Phone (402) 614-2300

8901 Indian Hills Dr
Ste 100
Omaha, NE 68114
Phone (402) 933-1500

8901 Indian Hills Dr
Ste 200
Omaha, NE 68114
Phone (402) 397-7057

Interoperability endpoints

  • Direct secure messaging: talli@midwestgi.gwaydirect.com

Organizations & group practices 7

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 6

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1447225784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 INDIAN HILLS DR",
            "address_2": "SUITE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144057",
            "telephone_number": "402-397-7057",
            "fax_number": "402-397-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 INDIAN HILLS DR",
            "address_2": "SUITE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144057",
            "telephone_number": "402-397-7057",
            "fax_number": "402-397-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLI",
        "first_name": "TYRON",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NE",
            "license": "19937",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IA",
            "license": "30899",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47077295213",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.