Individual provider Active NPI

Edward T McGonigal, M.D.

  • Anesthesiology Physician
  • Omaha, NE
National Provider Identifier
1750492724
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
21485 Issued in NE
Practice address
601 N 30TH St Ste 3222a
Omaha, NE 68131-2137
Phone
(402) 449-4847
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 21485 NE Primary

Addresses

Primary practice location

601 N 30TH St Ste 3222a
Omaha, NE 68131-2137

Mailing address

2500 California PLZ
Omaha, NE 68178-0001

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091221000036 NE Practitioner - Anesthesiology 3577603786 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Creighton University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7500 Mercy Rd
Suite 1355
Omaha, NE 68124-2319
Phone (402) 717-4866

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21485NEMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic CurrentSince Sep 1, 2012 Accepting new patients
CHI Health Clinic Physician Enterprise-Anesthesia LLC Anesthesiology CurrentSince Apr 1, 2018 Accepting new patients
CHI Health Clinic Specialty, LLC Past Accepting new patients
Alegent Creighton Clinic Past Accepting new patients
Creighton University Anesthesiology Past Accepting new patients
CHI Health Clinic Physician Enterprise-Anesthesia LLC Anesthesiology Past Accepting new patients
Creighton University Past Accepting new patients

Locations

2771 Solution Ctr
Chicago, IL 60677

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

7710 Mercy Rd
Ste 426
Omaha, NE 68124
Phone (402) 343-8650

6901 N 72nd St
Ste 22330
Omaha, NE 68122
Phone (402) 717-4673

7500 Mercy Rd
Ste 1355
Omaha, NE 68124
Phone (402) 717-4866

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

6901 N 72nd St
Omaha, NE 68122
Phone (402) 572-2121

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1750492724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 CALIFORNIA PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681780001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N 30TH ST STE 3222A",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312137",
            "telephone_number": "402-449-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGONIGAL",
        "first_name": "EDWARD",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NE",
            "license": "21485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.