Active NPI
Douglas Francis Niemann, M.D.
- Diagnostic Radiology Physician
- Omaha, NE
National Provider Identifier
1619016409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 23759
- Practice address
- Emile @ 42ND Street
Omaha, NE 68198-1045 - Phone
- (402) 559-1010
- Fax
- (402) 559-1011
- NPI assigned
- Feb 6, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 23759 | NE | Primary |
Addresses
Primary practice location
Emile @ 42ND Street
Omaha, NE 68198-1045
Mailing address
988102 Nebraska Medical Ctr
Omaha, NE 68198-8102
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00779 | Other | NE | BC/BS OF NE WHITE RIVER IMAGING |
| 1619016409 | Medicaid | IA | |
| 10025173600 | Medicaid | NE | |
| 00780 | Other | NE | BC/BS OF NE CENTRAL NEBRASKA IMAGING |
| 10025186700 | Medicaid | NE | |
| 10025248800 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA, SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Nebraska College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2720 Stone Park Blvd
Sioux City, IA 51104-3734
Phone (712) 279-3500
Emile 42ND St
Omaha, NE 68198-0001
Phone (402) 559-4015
Hospital & facility affiliations
- The Nebraska Medical Center
- Bellevue Medical Center
- St Lukes Regional Medical Center
- Nebraska Orthopaedic Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23759 | NE | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Heart Health Services | Current | Accepting new patients | |
| Unmc Physicians | Current | Accepting new patients | |
| Sacred Heart Health Services | Current | Accepting new patients | |
| Northwest Iowa Hospital Corporation | Current | Accepting new patients | |
| Nebraska Health Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Sacred Heart Health Services | Current | Accepting new patients |
Locations
2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000
2500 Bellevue Medical Center Dr
Bellevue, NE 68123
Phone (402) 763-3000
Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731
988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600
7819 Dodge St
Omaha, NE 68114
Phone (402) 384-8882
501 Summit St
Yankton, SD 57078
Phone (605) 655-1201
Organizations & group practices 6
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Sioux City, IA
- NPI 1215962550
IA, NE
-
- Ophthalmology Physician
- Yankton, SD
- NPI 1003585548
-
- General Practice Physician
- Yankton, SD
- NPI 1205703659
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sioux City, IA
- NPI 1962594622
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537747200000",
"number": "1619016409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "988102 NEBRASKA MEDICAL CTR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681988102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EMILE @ 42ND STREET",
"city": "OMAHA",
"state": "NE",
"postal_code": "681981045",
"telephone_number": "402-559-1010",
"fax_number": "402-559-1011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEMANN",
"first_name": "DOUGLAS",
"middle_name": "FRANCIS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2018-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NE",
"license": "23759",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF NE WHITE RIVER IMAGING",
"identifier": "00779",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1619016409",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025173600",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF NE CENTRAL NEBRASKA IMAGING",
"identifier": "00780",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025186700",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025248800",
"state": "NE"
}
],
"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 Sep 24, 2018; 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.
- 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.