Alegent Creighton Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ALEGENT CREIGHTON CLINIC

Practice address

800 Mercy Dr
Council Bluffs, IA 51503-3128

Phone

(855) 524-4001

NPI assigned

Jan 26, 2007

Organization subpart

Yes

Parent organization

CHI NEBRASKAAs reported in NPPES

Name

David Pritza, MDNPI 1942277272

Title

SVP

Phone

(402) 343-4477

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Alegent Creighton Clinic

  • Obstetrics & Gynecology Physician
  • Council Bluffs, IA
  • NPI 1134283013

  O20040116000817

  Same enrollment
• Alegent Creighton Clinic

  • Internal Medicine Physician
  • Omaha, NE
  • NPI 1518227859

  O20040116000817

  Same enrollment

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Alegent Creighton Clinic

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1548287907

  1951210418

  Same PAC ID

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Randall Pritza, M.D.

  • Cardiovascular Disease Physician
  • Omaha, NE
  • NPI 1942277272

  Cardiovascular Disease, IA

  Medicare reassignment Care Compare group NPD Authorized official
• Abdul Kabir Abdussalam, MD

  • Hospitalist Physician
  • Council Bluffs, IA
  • NPI 1730773367

  Hospitalist, IA

  Medicare reassignment Care Compare group NPD
• Raminder S Ahluwalia, MD

  • Family Medicine Physician
  • Davenport, IA
  • NPI 1578581534

  Family Medicine, IA

  Medicare reassignment Care Compare group NPD
• Jamie Armbruster, MD

  • Family Medicine Physician
  • Council Bluffs, IA
  • NPI 1699939538

  Family Medicine, IA

  Medicare reassignment Care Compare group NPD
• Thomas Marvin Atteberry, M.D.

  • Orthopaedic Surgery Physician
  • Council Bluffs, IA
  • NPI 1629063508

  IA

  Medicare reassignment Care Compare group NPD
• Holly F Baumann, PA-C

  • Physician Assistant
  • Council Bluffs, IA
  • NPI 1639893159

  IA, Physician Assistant

  Medicare reassignment Care Compare group NPD
• Liran Bendor, DO

  • Internal Medicine Physician
  • Des Moines, IA
  • NPI 1104310887

  IA, Internal Medicine

  Medicare reassignment Care Compare group NPD
• Blake Michael Bodendorfer, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Council Bluffs, IA
  • NPI 1083000905

  IA

  Medicare reassignment Care Compare group NPD
• Kimberly Butts, M.D.

  • Family Medicine Physician
  • Council Bluffs, IA
  • NPI 1093196008

  Family Medicine, IA

  Medicare reassignment Care Compare group NPD
• Emily Chavez, NP

  • Nurse Practitioner
  • Council Bluffs, IA
  • NPI 1255229647

  IA

  Medicare reassignment Care Compare group NPD
• Yuttana Chawengsub, M.D., PH.D.

  • Hospitalist Physician
  • Council Bluffs, IA
  • NPI 1518306570

  IA, Internal Medicine

  Medicare reassignment Care Compare group NPD
• Benjamin Denich

  • Acute Care Nurse Practitioner
  • Council Bluffs, IA
  • NPI 1104436575

  IA

  Medicare reassignment Care Compare group NPD

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations (25 of 72)

• CHI Health Clinic Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 18, 2023.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1598811069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 MERCY RD",
            "address_2": "ATTN: CREDENTIALING",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242311",
            "telephone_number": "402-398-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MERCY DR",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515033128",
            "telephone_number": "855-524-4001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1288 Valley View Dr",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515035245",
            "country_code": "US",
            "telephone_number": "712-328-8800",
            "fax_number": "712-328-8461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3135 W Broadway",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515013359",
            "country_code": "US",
            "telephone_number": "712-328-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALEGENT CREIGHTON CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHI NEBRASKA",
        "enumeration_date": "2007-01-26",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "PRITZA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SVP",
        "authorized_official_telephone_number": "402-343-4477",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "41446",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "41453",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "41464",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHI Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHI Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patrick Ahrens, M.D.
• Dani Christine Akana, LMT
• Yasmine Al-Shdifat
• Angel M. Albertson
• Alegent Creighton Clinic
• Alegent Creighton Health
• Alegent Creighton Health
• Alegent Creighton Health
• Alegent Health Bergan Mercy Health System
• Alegent Health Bergan Mercy Health System

• All providers in Council Bluffs, IA
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.