Peter M. Daher, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

19356 Issued in NE

Practice address

Burgess Health Center
1600 Diamond Ave
Onawa, IA 51040-5104

Phone

(712) 423-2311

NPI assigned

Sep 12, 2005

Sex

Male

Sole proprietor

No

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.

• Alegent Creighton Clinic

  • Family Medicine Physician
  • Council Bluffs, IA
  • NPI 1598811069

  Family Medicine, IA

  Medicare reassignment NPD
• Burgess Health Center

  • Emergency Medicine Physician
  • Onawa, IA
  • NPI 1538234232

  Emergency Medicine, IA

  Medicare reassignment NPD
• Burgess Health Center

  • Critical Access Hospital
  • Onawa, IA
  • NPI 1730253360

  IA

  Medicare reassignment NPD
• Alegent Creighton Clinic

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1548287907

  Family Medicine, NE

  Medicare reassignment NPD
• Burgess Health Center

  • Rural Health Clinic/Center
  • Whiting, IA
  • NPI 1487022216

  Family Medicine

  NPD
• New Century Physicians of Iowa PC

  • Emergency Medicine Physician
  • Council Bluffs, IA
  • NPI 1548269301

  Emergency Medicine

  NPD
• Burgess Health Center

  • Rural Acute Care Hospital
  • Onawa, IA
  • NPI 1598924623
  NPD (past)
• Children'S Physicians

  • Pediatrics Physician
  • Omaha, NE
  • NPI 1750443503
  NPD (past)
• Creighton University

  • Allergy & Immunology (Internal Medicine) Physician
  • Omaha, NE
  • NPI 1295777225

  Family Medicine

  NPD (past)
• Creighton University

  • Physical Therapist
  • Omaha, NE
  • NPI 1780172304
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in NE, IA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 17, 2021.

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1528053006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11753 PACIFIC ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543444",
            "telephone_number": "402-290-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BURGESS HEALTH CENTER",
            "address_2": "1600 DIAMOND AVE",
            "city": "ONAWA",
            "state": "IA",
            "postal_code": "510405104",
            "telephone_number": "712-423-2311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "529 Pinnacle Dr",
            "address_purpose": "LOCATION",
            "city": "Papillion",
            "state": "NE",
            "postal_code": "680466242",
            "country_code": "US",
            "telephone_number": "402-268-1212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2412 Cuming St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681311601",
            "country_code": "US",
            "telephone_number": "402-449-4590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAHER",
        "first_name": "PETER",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "19356",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NE",
            "license": "19356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "9685",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "0106035",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "30105 GRP: 7553",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47-075591500",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8967893",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00312875 GRP CK4096",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Onawa, IA
• Emergency Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.