Active NPI
Ryan C. Shelstad, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Omaha, NE
National Provider Identifier
1619149119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 29323
- Practice address
- 1120 N 103Rd PLZ Ste 200
Omaha, NE 68114-1119 - Phone
- (402) 354-0400
- Fax
- (402) 354-0425
- NPI assigned
- Mar 25, 2008
- 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 |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 29323 | NE | Primary |
Addresses
Primary practice location
1120 N 103Rd PLZ Ste 200
Omaha, NE 68114-1119
Mailing address
PO Box 3755
Omaha, NE 68103-0755
Phone (402) 354-2100
Other practice location 1
1500 S 48th St Ste 400
Lincoln, NE 68506-1278
Phone (402) 483-3333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47084496100 | Medicaid | NE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- University of Nebraska College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1600 S 48TH St
600 Bryan Heart
Lincoln, NE 68506-1275
Phone (402) 483-3333
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.61 of 100
- Quality
- 87.74
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67.62
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 61 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryan Medical Center | Past | Accepting new patients |
Interoperability endpoints
- rshelstad8237@hisp.bryanhealth.org
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.
-
dba Bryan Heart
- Cardiovascular Disease Physician
- Lincoln, NE
- NPI 1982653515
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1528006103
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1528006103
-
dba Bryan Medical Center Laboratory
- Clinical Medical Laboratory
- Lincoln, NE
- NPI 1689203077
Hospital
-
- General Acute Care Hospital
- Grand Island, NE
- NPI 1558910604
-
dba Great Plains Health
- General Acute Care Hospital
- North Platte, NE
- NPI 1700855533
-
dba Great Plains Health
- Clinical Medical Laboratory
- North Platte, NE
- NPI 1902660509
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1619149119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3755",
"city": "OMAHA",
"state": "NE",
"postal_code": "681030755",
"telephone_number": "402-354-2100",
"fax_number": "402-354-2155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 N 103RD PLZ STE 200",
"city": "OMAHA",
"state": "NE",
"postal_code": "681141119",
"telephone_number": "402-354-0400",
"fax_number": "402-354-0425"
}
],
"practiceLocations": [
{
"address_1": "1500 S 48th St Ste 400",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "685061278",
"country_code": "US",
"telephone_number": "402-483-3333",
"fax_number": "402-483-3297",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHELSTAD",
"first_name": "RYAN",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-25",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "NE",
"license": "29323",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47084496100",
"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 Aug 28, 2026; 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.