Ryan Allen Dvorak, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

26171 Issued in NE

Practice address

8303 Dodge St
Omaha, NE 68114-4108

Phone

(402) 354-4344

NPI assigned

Mar 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Specialty

Diagnostic Radiology

Education

Creighton University School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiologic Center IncGroup PAC ID 1759330731, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040
• The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013
• Methodist Fremont Health Hospital, Fremont, NE, CCN 280077
• Methodist Jennie Edmundson Hospital, Council Bluffs, IA, CCN 160047
• Cass County Memorial Hospital Hospital, Atlantic, IA, CCN 161376

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Radiologic Center Inc

  • Diagnostic Radiology Physician
  • Omaha, NE
  • NPI 1700802154
  Medicare reassignment Care Compare group NPD

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

• Methodist Fremont Health

  • Rural Acute Care Hospital
  • Fremont, NE
  • NPI 1033698543
  Care Compare affiliation
• Methodist Fremont Health

  • Rural Acute Care Hospital
  • Fremont, NE
  • NPI 1376498543
  Care Compare affiliation
• Nebraska Methodist Hospital

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1427147883
  Care Compare affiliation
• The Nebraska Medical Center

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1356307581
  Care Compare affiliation
• Cass County Memorial Hospital

  • Critical Access Hospital
  • Atlantic, IA
  • NPI 1093760944
  Care Compare affiliation
• Jennie Edmundson Memorial Hospital

  • General Acute Care Hospital
  • Council Bluffs, IA
  • NPI 1457448755
  Care Compare affiliation

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1497872576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7701 PACIFIC ST",
            "address_2": "SUITE 117",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681145480",
            "telephone_number": "402-238-1539",
            "fax_number": "402-397-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 DODGE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144108",
            "telephone_number": "402-354-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DVORAK",
        "first_name": "RYAN",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301085342",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "26171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47052676314",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497872576",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497872576",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawson E Dvorak, M.A., LMHP
• Leslie Irene Dvorak, APRN
• Marvin B Dvorak, DDS
• Melanie Dvorak
• Michael Dvorak, PHARMD
• Deborah Kway Dwagwahhei
• Lindsey K Dworak-Swantek, APRN
• Alex Dworak, M.D.
• Ashley Dworak, PTA
• Audrey Dworak, PLMHP

• Diagnostic Radiology Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Diagnostic Radiology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.