Individual provider Active NPI

Michael Joseph Sedlacek, MD

  • Psychiatry Physician
  • Omaha, NE
National Provider Identifier
1477546372
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
17256 Issued in NE
Practice address
9239 W Center Rd
Ste 211
Omaha, NE 68124-1900
Phone
(402) 399-9305
Fax
(402) 397-3191
NPI assigned
Aug 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 17256 NE Primary

Addresses

Primary practice location

9239 W Center Rd
Ste 211
Omaha, NE 68124-1900

Mailing address

9239 W Center Rd
Ste 211
Omaha, NE 68124-1900
Phone (402) 399-9305

Other identifiers 1

IdentifierTypeStateIssuer
4142OtherNEBCBS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100602000997 NE Practitioner - Psychiatry 3274553680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Nebraska College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatric Services PCGroup PAC ID 0941113328, 11 clinicians

Practice addresses (Care Compare)

9239 W Ctr Rd
Suite 211
Omaha, NE 68124-1900
Phone (402) 399-9305

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17256NEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Services, PC Psychiatry CurrentSince Dec 1, 1999 Accepting new patients

Locations

9239 W Center Rd
Ste 211
Omaha, NE 68124
Phone (402) 399-9305

Organizations & group practices 1

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": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1477546372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9239 W CENTER RD",
            "address_2": "STE 211",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681241900",
            "telephone_number": "402-399-9305",
            "fax_number": "402-397-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9239 W CENTER RD",
            "address_2": "STE 211",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681241900",
            "telephone_number": "402-399-9305",
            "fax_number": "402-397-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDLACEK",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "17256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4142",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.