Individual provider Active NPI

Peter M. Daher, M.D.

  • Emergency Medicine Physician
  • Onawa, IA
National Provider Identifier
1528053006
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
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
Last updated
Sep 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19356 NE
Emergency Medicine Physician 207P00000X 19356 NE Primary

Addresses

Primary practice location

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

Mailing address

11753 Pacific St
Omaha, NE 68154-3444
Phone (402) 290-1212

Other practice location 1

529 Pinnacle Dr
Papillion, NE 68046-6242
Phone (402) 268-1212

Other practice location 2

2412 Cuming St
Omaha, NE 68131-1601
Phone (402) 449-4590

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050701000579 NE Practitioner - Emergency MedicinePractitioner - Family Practice 1658350939 Reassigns benefits to 1 organization
I20110518000023 IA Practitioner - Family PracticePractitioner - Emergency Medicine 1658350939 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19356NEMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Burgess Health Center Family Medicine CurrentSince Jan 1, 1993 Accepting new patients
Burgess Health Center Emergency Medicine Current Accepting new patients
New Century Physicians of Iowa PC Emergency Medicine CurrentSince Oct 1, 2018 Accepting new patients
Alegent Creighton Clinic Family Medicine CurrentSince Aug 31, 2023 Accepting new patients
Alegent Creighton Clinic Family Medicine CurrentSince Aug 31, 2023 Accepting new patients
Burgess Health Center Current Accepting new patients
Creighton University Family Medicine Past Accepting new patients
Burgess Health Center Past Accepting new patients
Children's Physicians Past Accepting new patients
Creighton University Past Accepting new patients

Locations

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

1600 Diamond St
Onawa, IA 51040
Phone (712) 423-2311

2771 Solution Ctr
Chicago, IL 60677

10828 John Galt Blvd
Omaha, NE 68137
Phone (402) 592-4400

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

2412 Cuming St
Omaha, NE 68131
Phone (402) 449-4000

4920 Center St
Omaha, NE 68106
Phone (402) 558-3837

7500 Mercy Rd
Omaha, NE 68124
Phone (402) 398-5880

Organizations & group practices 10

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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Onawa, IA

Sources for this page

Verify at the official NPI Registry.