Active NPI
Gerald B Simons, M.D.
- Otolaryngology Physician
- Omaha, NE
National Provider Identifier
1568415636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 12886
- Practice address
- 2727 S 144TH St
Suite 250
Omaha, NE 68144-5225 - Phone
- (402) 778-5250
- Fax
- (402) 778-5216
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 12886 | NE | Primary |
| Otolaryngology Physician | 207Y00000X | 23936 | IA |
Addresses
Primary practice location
2727 S 144TH St
Suite 250
Omaha, NE 68144-5225
Mailing address
2727 S 144TH St
Suite 250
Omaha, NE 68144-5225
Phone (402) 778-5250
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040006234 | Other | NE | RAILROAD MEDICARE |
| 1000007 | Other | NE | UHCM |
| 10026440200 | Medicaid | NE | |
| 51601 | Other | IA | BCBS OF IA |
| 0983197 | Medicaid | IA | |
| 2735 | Other | NE | BCBSN |
| 47061028913 | Medicaid | NE | |
| 4731 | Other | NE | MIDLANDS CHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23936 | IA | MD | Pharmacist |
| 12886 | NE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432598400000",
"number": "1568415636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2727 S 144TH ST",
"address_2": "SUITE 250",
"city": "OMAHA",
"state": "NE",
"postal_code": "681445225",
"telephone_number": "402-778-5250",
"fax_number": "402-778-5216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 S 144TH ST",
"address_2": "SUITE 250",
"city": "OMAHA",
"state": "NE",
"postal_code": "681445225",
"telephone_number": "402-778-5250",
"fax_number": "402-778-5216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONS",
"first_name": "GERALD",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2015-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NE",
"license": "12886",
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IA",
"license": "23936",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "040006234",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHCM",
"identifier": "1000007",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026440200",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF IA",
"identifier": "51601",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0983197",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSN",
"identifier": "2735",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47061028913",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "4731",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.