Individual provider Active NPI

Ryan Koehler, MD

  • Pediatric Orthopaedic Surgery Physician
  • Omaha, NE
National Provider Identifier
1609295369
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
32585 Issued in NE
Practice address
8200 Dodge Street
Orthopaedic Division
Omaha, NE 68114-8774
Phone
(402) 955-6300
NPI assigned
Apr 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery Physician 207XP3100X 32585 NE Primary

Addresses

Primary practice location

8200 Dodge Street
Orthopaedic Division
Omaha, NE 68114-8774

Mailing address

8200 Dodge Street
Orthopaedic Division
Omaha, NE 68114-8774
Phone (402) 955-6300

Other practice location 1

Vanderbilt Medical Center East South Tower
Suite 4200
Nashville, TN 37232-8774
Phone (615) 936-3391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200903000560 NE Practitioner - Orthopedic Surgery 4284937855 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32585NEMDPediatric Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unmc Physicians CurrentSince Aug 17, 2020 Accepting new patients
The Children'S Mercy Hospital Past Accepting new patients

Locations

8200 Dodge St
Omaha, NE 68114
Phone (402) 955-4350

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

Organizations & group practices 2

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": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1609295369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 DODGE STREET",
            "address_2": "ORTHOPAEDIC DIVISION",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681148774",
            "telephone_number": "402-955-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 DODGE STREET",
            "address_2": "ORTHOPAEDIC DIVISION",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681148774",
            "telephone_number": "402-955-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Vanderbilt Medical Center East South Tower",
            "address_2": "Suite 4200",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372328774",
            "country_code": "US",
            "telephone_number": "615-936-3391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOEHLER",
        "first_name": "RYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-09",
        "last_updated": "2021-04-02",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "NE",
            "license": "32585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.