Individual provider Active NPI

Daniel J Kirsch, MD

  • Obstetrics & Gynecology Physician
  • Omaha, NE
National Provider Identifier
1578528550
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
21020 Issued in NE
Practice address
11602 W Center Rd
Suite 150
Omaha, NE 68144-4440
Phone
(402) 884-7533
Fax
(402) 884-7656
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 21020 NE Primary

Addresses

Primary practice location

11602 W Center Rd
Suite 150
Omaha, NE 68144-4440

Mailing address

PO Box 27015
Omaha, NE 68127-0015
Phone (402) 393-9459

Other identifiers 1

IdentifierTypeStateIssuer
10024951000MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WY2 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
I20151120000326 MD Practitioner - Obstetrics/Gynecology 6800971870 Reassigns benefits to 2 organizations
I20230216002034 WY Practitioner - Obstetrics/Gynecology 6800971870 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ivinson Memorial Hospital CurrentSince Feb 1, 2023 Accepting new patients
Obhg Maryland PC Obstetrics & Gynecology CurrentSince Oct 20, 2018 Accepting new patients
Obhg Maryland PC Obstetrics & Gynecology CurrentSince Oct 20, 2018 Accepting new patients
Ivinson Memorial Hospital CurrentSince Feb 1, 2023 Accepting new patients
Carroll Health Group, LLC Obstetrics & Gynecology CurrentSince Nov 15, 2015 Accepting new patients
Alegent Creighton Clinic Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
McTaggart OB-GYN, P.C. Obstetrics & Gynecology PastSince Apr 1, 2003 Accepting new patients

Locations

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

219 S Washington St
Easton, MD 21601

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

193 Stoner Ave
Ste 220
Westminster, MD 21157
Phone (410) 871-2204

3116 Willett Dr
Laramie, WY 82072
Phone (307) 742-6319

255 N 30th St
Laramie, WY 82072
Phone (307) 742-2141

Organizations & group practices 8

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232064000000",
    "number": "1578528550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27015",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681270015",
            "telephone_number": "402-393-9459",
            "fax_number": "402-397-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11602 W CENTER RD",
            "address_2": "SUITE 150",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444440",
            "telephone_number": "402-884-7533",
            "fax_number": "402-884-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCH",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2009-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NE",
            "license": "21020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10024951000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.