NPIMap

Individual provider Active NPI

William Pruett, MD

  • Pulmonary Disease Physician
  • Omaha, NE
National Provider Identifier
1487005542
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
31858 Issued in NE
Practice address
7500 Mercy Rd # 300
Omaha, NE 68124-2319
Phone
(402) 717-9600
Fax
(515) 241-6576
NPI assigned
Jun 29, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 31858 NE Primary

Addresses

Primary practice location

7500 Mercy Rd # 300
Omaha, NE 68124-2319

Mailing address

7500 Mercy Rd
Omaha, NE 68124-2319
Phone (402) 717-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181015001266 IA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 9931492121 Reassigns benefits to 2 organizations
I20200504001667 NE Practitioner - Pulmonary DiseasePractitioner - Hospitalist 9931492121 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
University of Kansas School of Med (KC/Wich/Sal), 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, shared by 2 NPIs, 951 clinicians

Practice addresses (Care Compare)

7710 Mercy Rd
Suite 3000
Omaha, NE 68124-2350
Phone (402) 343-8650

800 Mercy Dr
Council Bluffs, IA 51503-3128
Phone (712) 328-5490

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CHI Health Clinic Specialty, LLC Multi-Specialty CurrentSince Jan 1, 2021 Accepting new patients
Alegent Creighton Clinic Multi-Specialty CurrentSince Aug 1, 2022 Accepting new patients
Alegent Creighton Clinic Multi-Specialty CurrentSince Dec 1, 2022 Accepting new patients
Broadlawns Medical Center Multi-Specialty CurrentSince Nov 1, 2018 Accepting new patients
Broadlawns Medical Center CurrentSince Nov 1, 2018 Accepting new patients
Alegent Health Bergan Mercy Health System Past Accepting new patients

Locations

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200

2771 Solution Ctr
Chicago, IL 60677

2620 W Faidley Ave
Grand Island, NE 68803
Phone (308) 382-6856

908 N Howard Ave
Ste 105
Grand Island, NE 68803
Phone (308) 384-7200

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

7710 Mercy Rd
Ste 3000
Omaha, NE 68124
Phone (402) 717-9600

7500 Mercy Rd
#300
Omaha, NE 68124
Phone (402) 717-9600

7500 Mercy Rd
Omaha, NE 68124
Phone (402) 398-5880

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1487005542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 MERCY RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242319",
            "telephone_number": "402-717-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 MERCY RD # 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242319",
            "telephone_number": "402-717-9600",
            "fax_number": "515-241-6576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUETT",
        "first_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-29",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NE",
            "license": "31858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.