Individual provider Active NPI

Michael Ray Powers, DPM

  • Podiatrist
  • Omaha, NE
National Provider Identifier
1467474643
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
276 Issued in NE
Practice address
10782 V St
Omaha, NE 68127-2952
Phone
(402) 504-9747
Fax
(402) 991-6766
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 276 NE Primary

Addresses

Primary practice location

10782 V St
Omaha, NE 68127-2952

Mailing address

10782 V St
Omaha, NE 68127-2952
Phone (402) 504-9747

Other identifiers 5

IdentifierTypeStateIssuer
10025518100MedicaidNE
10025640100MedicaidNE
1427348838OtherNEGROUP NPI NEBRASKA LOWER EXTREMITY SURGERY GROUP, LLC
10025518200MedicaidNE
10025518000MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
276NEMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Omaha Anesthesia LLC CurrentSince Jul 8, 2022 Accepting new patients
Midwest Surgery Center Inc CurrentSince Feb 1, 2008 Accepting new patients
Powers Foot & Ankle PC PastSince Jun 1, 2004 Accepting new patients

Locations

10782 V St
Omaha, NE 68127
Phone (402) 504-9747

Interoperability endpoints

  • Direct secure messaging: powers.michael.009.0270008@fas.meditab.direct-ci.com
  • Direct secure messaging: powers.michael.003.0270008@fas.meditab.direct-ci.com
  • Direct secure messaging: powers.michael.010.0270008@fas.meditab.direct-ci.com
  • Direct secure messaging: powers.michael.002.0270008@fas.meditab.direct-ci.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1467474643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10782 V ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681272952",
            "telephone_number": "402-504-9747",
            "fax_number": "402-991-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10782 V ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681272952",
            "telephone_number": "402-504-9747",
            "fax_number": "402-991-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "MICHAEL",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NE",
            "license": "276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025518100",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025640100",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NEBRASKA LOWER EXTREMITY SURGERY GROUP, LLC",
            "identifier": "1427348838",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025518200",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025518000",
            "state": "NE"
        }
    ],
    "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 Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.