Individual provider Active NPI

Tom V Pagano, M.D.

  • Cardiovascular Disease Physician
  • Kearney, NE
National Provider Identifier
1528003522
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
15146 Issued in NE
Practice address
3219 Central Ave.
Kearney, NE 68848-0550
Phone
(308) 865-2808
Fax
(308) 865-2541
NPI assigned
Jun 17, 2006
Last updated
Oct 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 15146 NE Primary
Interventional Cardiology Physician 207RI0011X 15146 NE

Addresses

Primary practice location

3219 Central Ave.
Kearney, NE 68848-0550

Mailing address

816 22ND Ave
Ste 100
Kearney, NE 68845-2226
Phone (308) 865-2808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20080118000643 KS Practitioner - Cardiovascular Disease (Cardiology) 2264421700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Clinic Health System - East Region Current Accepting new patients
Iowa Heart Center PC Cardiovascular Disease Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

4110 Warrensville Center Rd
Warrensvl Hts, OH 44122
Phone (216) 491-6552

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1528003522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 22ND AVE",
            "address_2": "STE 100",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452226",
            "telephone_number": "308-865-2808",
            "fax_number": "308-865-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 CENTRAL AVE.",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688480550",
            "telephone_number": "308-865-2808",
            "fax_number": "308-865-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGANO",
        "first_name": "TOM",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NE",
            "license": "15146",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NE",
            "license": "15146",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.