Organization Active NPI

Midwest Surgery Center Inc

  • Ambulatory Surgical Clinic/Center
  • Omaha, NE
National Provider Identifier
1467580019
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
ASC044 Issued in NE
Legal business name
MIDWEST SURGERY CENTER INC
Practice address
10784 V St
Omaha, NE 68127-2952
Phone
(402) 331-6387
Fax
(402) 331-6537
NPI assigned
Mar 2, 2007
Last updated
Apr 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Authorized official

Name
Dr. Michael Powers, DPMNPI 1467474643
Title
Owner
Phone
(402) 331-6387

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X ASC044 NE Primary

Addresses

Primary practice location

10784 V St
Omaha, NE 68127-2952

Mailing address

PO Box 241277
Omaha, NE 68124-5277
Phone (402) 331-6387

Other identifiers 3

IdentifierTypeStateIssuer
ASC044OtherNESTATE LICENSE
10025647800MedicaidNE
07024OtherNEBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080807000119 NE Part B Supplier - Ambulatory Surgical Center 9133291743 Practice locations: Omaha, NE

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Midwest Surgery Center IncCCN 28C0001050
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D1054487Midwest Surgery Center, Inc10784 V Street, Omaha, NE 68127Certificate of waiverMay 22, 2028

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1467580019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241277",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681245277",
            "telephone_number": "402-331-6387",
            "fax_number": "402-331-6537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10784 V ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681272952",
            "telephone_number": "402-331-6387",
            "fax_number": "402-331-6537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-331-6387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NE",
            "license": "ASC044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "ASC044",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025647800",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "07024",
            "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 Apr 30, 2015; 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.

Verify at the official NPI Registry.