Thomas Theodore Nilles-Melchert, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

10046 Issued in NE

Practice address

988437 Nebraska Medical Ctr
Omaha, NE 68198-8437

Phone

(402) 559-9605

NPI assigned

Jun 21, 2024

Last updated

Jun 21, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1457195745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988437 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681988437",
            "telephone_number": "402-559-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "988437 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681988437",
            "telephone_number": "402-559-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILLES-MELCHERT",
        "first_name": "THOMAS",
        "middle_name": "THEODORE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NE",
            "license": "10046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Ann Niksick, HIGH SCHOOL DIPLOMA
• Nil Sine Deo (A Place At Home Papillion)
• Susan Marie Niles
• Deborah Nilius, MS CCC/SLP
• Gregory Scott Nilius, DC
• Jonathan Nilles, DO
• Robert Gerald Nilles, D.C.
• Dakota Nilson
• Dennis Elof Nilsson, D.D.S.
• Princess Nimako

• Neurological Surgery Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Neurological Surgery Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.