Individual provider Active NPI

Robert J Saniuk, M.D.

  • Family Medicine Physician
  • Bellevue, NE
National Provider Identifier
1588612642
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15976 Issued in NE
Practice address
2206 Longo Dr
Suite 201
Bellevue, NE 68005-2977
Phone
(402) 292-9170
Fax
(402) 292-0119
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 15976 NE Primary

Addresses

Primary practice location

2206 Longo Dr
Suite 201
Bellevue, NE 68005-2977

Mailing address

2206 Longo Dr
Suite 201
Bellevue, NE 68005-2977
Phone (402) 292-9170

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

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400630400000",
    "number": "1588612642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 LONGO DR",
            "address_2": "SUITE 201",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680052977",
            "telephone_number": "402-292-9170",
            "fax_number": "402-292-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 LONGO DR",
            "address_2": "SUITE 201",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680052977",
            "telephone_number": "402-292-9170",
            "fax_number": "402-292-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANIUK",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2014-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "15976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.