Individual provider Active NPI

Shirley Fenelonne Delair, M.D.

  • Pediatric Infectious Diseases Physician
  • Omaha, NE
National Provider Identifier
1518178680
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
25777 Issued in NE
Practice address
Pediatric Infectious Diseases
982162 Nebraska Medical Center
Omaha, NE 68198-2162
Phone
(402) 955-4005
Fax
(402) 955-3948
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Infectious Diseases Physician 2080P0208X 25777 NE Primary

Addresses

Primary practice location

Pediatric Infectious Diseases
982162 Nebraska Medical Center
Omaha, NE 68198-2162

Mailing address

8200 Dodge St
Omaha, NE 68114-4113
Phone (402) 955-4005

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
I20100817000113 NE Practitioner - Pediatric MedicinePractitioner - Infectious Disease 8527192269 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25777NEMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Unmc Physicians CurrentSince Jul 7, 2010 Accepting new patients
Nebraska Pediatric Practice, Inc Past Accepting new patients

Locations

8200 Dodge St
Omaha, NE 68114
Phone (402) 955-4350

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600

Interoperability endpoints

  • Direct secure messaging: sdelair4252@direct.chsomaha.org
  • Direct secure messaging: sdelair24182@direct.nebraskamed.com

Organizations & group practices 2

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1518178680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 DODGE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144113",
            "telephone_number": "402-955-4005",
            "fax_number": "402-955-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PEDIATRIC INFECTIOUS DISEASES",
            "address_2": "982162 NEBRASKA MEDICAL CENTER",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681982162",
            "telephone_number": "402-955-4005",
            "fax_number": "402-955-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAIR",
        "first_name": "SHIRLEY",
        "middle_name": "FENELONNE",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "NE",
            "license": "25777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.