NPIMap

Individual provider Active NPI

Robert Drvol, M.D.

  • Adolescent Medicine (Internal Medicine) Physician
  • Omaha, NE
National Provider Identifier
1508916594
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
20613 Issued in NE
Practice address
6829 N 72ND St Ste 3100
Omaha, NE 68122-1724
Phone
(402) 572-3900
Fax
(402) 572-3793
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20613 NE
Pediatrics Physician 208000000X 20613 NE
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 20613 NE Primary

Addresses

Primary practice location

6829 N 72ND St Ste 3100
Omaha, NE 68122-1724

Mailing address

6829 N 72ND St Ste 3100
Omaha, NE 68122-1724
Phone (402) 572-3900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100308000405 NE Practitioner - Internal Medicine 0042355653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Nebraska College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, 951 clinicians

Practice addresses (Care Compare)

6829 N 72ND St
Suite 3100
Omaha, NE 68122-1724
Phone (402) 572-3900

Hospital & facility affiliations

  • CHI Health at Home - Omaha Home health agency, Omaha, NE, CCN 287019
  • CHI Health Bergan Mercy Hospital, Omaha, NE, CCN 280060
  • CHI Health Immanuel Hospital, Omaha, NE, CCN 280081
  • Nebraska Spine Hospital, LLC Hospital, Omaha, NE, CCN 280133
  • CHI Health Lakeside Hospital, Omaha, NE, CCN 280130
  • CHI Health Midlands Hospital, Papillion, NE, CCN 280105

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20613NEMDAdolescent Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic CurrentSince Jun 4, 2001 Accepting new patients
Alegent Creighton Clinic Internal Medicine CurrentSince Jun 4, 2001 Accepting new patients
Immanuel Affordable II Inc. Past Accepting new patients
Alegent Health Immanuel Medical Center Past Accepting new patients
Alegent Creighton Clinic Internal Medicine Past Accepting new patients

Locations

2771 Solution Ctr
Chicago, IL 60677

4508 38th St
Ste 157
Columbus, NE 68601
Phone (402) 280-4497

6829 N 72nd St
Ste 3100
Omaha, NE 68122
Phone (402) 391-3870

8613 N 30th St
Omaha, NE 68112
Phone (402) 451-2125

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

Interoperability endpoints

  • Direct secure messaging: robert.drvol.1@23757.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1508916594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6829 N 72ND ST STE 3100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681221724",
            "telephone_number": "402-572-3900",
            "fax_number": "402-572-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6829 N 72ND ST STE 3100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681221724",
            "telephone_number": "402-572-3900",
            "fax_number": "402-572-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRVOL",
        "first_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "20613",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NE",
            "license": "20613",
            "primary": false
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "NE",
            "license": "20613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.