Active NPI
Oncare Palliative LLC
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Omaha, NE
National Provider Identifier
1467231985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Legal business name
- ONCARE PALLIATIVE LLC
- Practice address
- 16934 Frances St Ste 106
Omaha, NE 68130-2397 - Phone
- (402) 403-4330
- Fax
- (402) 403-5854
- NPI assigned
- Sep 25, 2023
- Organization subpart
- Yes
- Parent organization
- ONCARE HOSPICE HOLDINGS, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Farhan Khan
- Title
- Manager
- Phone
- (402) 403-4330
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | Primary |
Addresses
Primary practice location
16934 Frances St Ste 106
Omaha, NE 68130-2397
Mailing address
16934 Frances St Ste 106
Omaha, NE 68130-2397
Phone (402) 403-4330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240412001013 | NE | Part B Supplier - Clinic/Group Practice | 3173962966 |
Receives reassigned benefits from 6 practitioners Practice locations: Omaha, NE |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D2298119 | Oncare Palliative LLC | Certificate of waiver | Jan 28, 2028 |
National Provider Directory
National Provider DirectoryLocations
16934 Frances St
Omaha, NE 68130
Phone (402) 212-1076
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapy Assistant
- Omaha, NE
- NPI 1689929721
-
- Registered Nurse
- Omaha, NE
- NPI 1376472761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695600000000",
"number": "1467231985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16934 FRANCES ST STE 106",
"city": "OMAHA",
"state": "NE",
"postal_code": "681302397",
"telephone_number": "402-403-4330",
"fax_number": "402-403-5854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16934 FRANCES ST STE 106",
"city": "OMAHA",
"state": "NE",
"postal_code": "681302397",
"telephone_number": "402-403-4330",
"fax_number": "402-403-5854"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONCARE PALLIATIVE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ONCARE HOSPICE HOLDINGS, LLC",
"enumeration_date": "2023-09-25",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "FARHAN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "402-403-4330"
},
"taxonomies": [
{
"code": "207RH0002X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.