Active NPI
Thomas Francis Cheatle, MD
- Emergency Medicine Physician
- Council Bluffs, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 36015
- Practice address
- 933 E Pierce St
Council Bluffs, IA 51503-4626 - Phone
- (712) 396-6111
- Fax
- (712) 396-7026
- NPI assigned
- May 12, 2006
- Last updated
- Dec 13, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 21078 | NE | |
| Emergency Medicine Physician | 207P00000X | 36015 | IA | Primary |
Addresses
Primary practice location
933 E Pierce St
Council Bluffs, IA 51503-4626
Mailing address
PO Box 2797
Omaha, NE 68103-2797
Phone (402) 354-4230
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750331369 | Medicaid | IA | |
| 01031 | Other | BCBS | |
| 42068035512 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2727 S 144TH St
150 Emergency Department
Omaha, NE 68144-5225
Phone (402) 609-1500
3506 S 201St Cir
Omaha, NE 68130-5094
Phone (402) 681-4030
7 Elliott St
Council Bluffs, IA 51503-0239
Phone (531) 867-4466
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36015 | IA | MD | Emergency Medicine Physician |
| 21078 | NE | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nebraska Methodist Hospital | Current | Accepting new patients | |
| Pgfhgs Holdings LLC | Current | Accepting new patients | |
| Jennie Edmundson Memorial Hospital | Emergency Medicine | Current | Accepting new patients |
| Alegent Creighton Clinic | Past | Accepting new patients | |
| Alegent Creighton Clinic | Past | Accepting new patients | |
| Muc-Papillion LLC | Past | Accepting new patients |
Locations
1221 E Pierce St
Ste 100
Council Bluffs, IA 51503
Phone (402) 671-2644
7 Elliott St
Council Bluffs, IA 51503
Phone (531) 867-4466
933 E Pierce St
Council Bluffs, IA 51503
Phone (712) 328-6000
2255 S 132nd St
Ste 100
Omaha, NE 68144
Phone (402) 614-4969
825 S 169th St
Omaha, NE 68118
Phone (402) 354-3370
Interoperability endpoints
- thomas.cheatle@direct.nmhs.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Omaha, NE
- NPI 1407087489
-
dba JE Professional Services
- Emergency Medicine Physician
- Council Bluffs, IA
- NPI 1942251269
-
dba Cityscape Healthcare
- Specialist
- Council Bluffs, IA
- NPI 1669347928
NE
-
dba Methodist Hospital
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
-
dba CHI Health Clinic
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
-
dba Midlands Family Urgent Care
- Urgent Care Clinic/Center
- Papillion, NE
- NPI 1841159944
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Methodist Jennie Edmundson
- General Acute Care Hospital
- Council Bluffs, IA
- NPI 1457448755
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1356345318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386892800000",
"number": "1750331369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2797",
"city": "OMAHA",
"state": "NE",
"postal_code": "681032797",
"telephone_number": "402-354-4230",
"fax_number": "402-354-6171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "933 E PIERCE ST",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515034626",
"telephone_number": "712-396-6111",
"fax_number": "712-396-7026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEATLE",
"first_name": "THOMAS",
"middle_name": "FRANCIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2013-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NE",
"license": "21078",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IA",
"license": "36015",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1750331369",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01031",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42068035512",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Council Bluffs, IA
- Chapters Council Bluffs Opco LLC (Chapters Living of Council Bluffs)
- Chartwell Pharmacy LLC (Serviam Pharmacy of Council Bluffs)
- Emily Chavez, NP
- Yuttana Chawengsub, M.D., PH.D.
- Kyle M Cheatham, O. D.
- Michael Chen, DO
- CHI Health Clinic Physician Enterprise-Anesthesia LLC
- Kudzai Chikwava, DDS
- Children's Dentistry of Council Bluffs, P.C.
- Children's Hospital & Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.