Active NPI
Delice Kayishunge, MD
- Dermatology Physician
- Omaha, NE
National Provider Identifier
1609564186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 9859
- Practice address
- 985645 Nebraska Medical Center
Omaha, NE 68198-4543 - Phone
- (402) 552-7928
- NPI assigned
- Apr 24, 2023
- Last updated
- Jul 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 9859 | NE | Primary |
Addresses
Primary practice location
985645 Nebraska Medical Center
Omaha, NE 68198-4543
Mailing address
985645 Nebraska Medical Center
Omaha, NE 68198-5645
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241002000192 | NE | Order and Referring Only - Dermatology | 3971034992 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9859 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1609564186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "985645 NEBRASKA MEDICAL CENTER",
"city": "OMAHA",
"state": "NE",
"postal_code": "681985645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "985645 NEBRASKA MEDICAL CENTER",
"city": "OMAHA",
"state": "NE",
"postal_code": "681984543",
"telephone_number": "402-552-7928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAYISHUNGE",
"first_name": "DELICE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-24",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NE",
"license": "9859",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.