Active NPI
Deepak M Gangahar, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Lincoln, NE
National Provider Identifier
1710072087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 14407
- Practice address
- 7440 S 91St St
Lincoln, NE 68526-9797 - Phone
- (402) 489-6555
- Fax
- (402) 328-3770
- NPI assigned
- Oct 4, 2006
- 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 | 14407 | NE | Primary |
Addresses
Primary practice location
7440 S 91St St
Lincoln, NE 68526-9797
Mailing address
7440 S 91St St
Lincoln, NE 68526-9797
Phone (402) 489-6555
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100126340E | Medicaid | KS | |
| 47070592302 | Medicaid | NE | |
| 10026072200 | Medicaid | NE | |
| 47070592300 | Medicaid | NE | |
| 47070592313 | Medicaid | NE | |
| 10026072400 | Medicaid | NE | |
| 10026072600 | Medicaid | NE | |
| 1969055 | Medicaid | IA | |
| 47070592306 | Medicaid | NE | |
| 10026072300 | Medicaid | NE | |
| 47070592301 | Medicaid | NE | |
| 47070592305 | Medicaid | NE | |
| 10026072500 | Medicaid | NE | |
| 10026072000 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14407 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Platte Heart Institute PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Ambulatory Surgical Clinic/Center
- North Platte, NE
- NPI 1306058425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327536000000",
"number": "1710072087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7440 S 91ST ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685269797",
"telephone_number": "402-489-6555",
"fax_number": "402-328-3770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7440 S 91ST ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685269797",
"telephone_number": "402-489-6555",
"fax_number": "402-328-3770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANGAHAR",
"first_name": "DEEPAK",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2012-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "NE",
"license": "14407",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100126340E",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47070592302",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026072200",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47070592300",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47070592313",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026072400",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026072600",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1969055",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47070592306",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026072300",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47070592301",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47070592305",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026072500",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026072000",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.