Individual provider Active NPI

Luris Cecilia De Calero, M.D.

  • Family Medicine Physician
  • Papillion, NE
National Provider Identifier
1750613618
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26948 Issued in NE
Practice address
11109 S 84TH St Ste 5800
Papillion, NE 68046-4124
Phone
(402) 827-1577
Fax
(402) 898-3134
NPI assigned
Feb 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26948 NE Primary
Family Medicine Physician 207Q00000X MD-43443 IA

Addresses

Primary practice location

11109 S 84TH St Ste 5800
Papillion, NE 68046-4124

Mailing address

7261 Mercy Rd
Omaha, NE 68124-2311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121103000101 NE Practitioner - Family Practice 3971593112 Reassigns benefits to 3 organizations
I20160930001200 IA Practitioner - Family Practice 3971593112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, shared by 2 NPIs, 951 clinicians

Practice addresses (Care Compare)

11109 S 84TH St
Suite 5800
Papillion, NE 68046-4124
Phone (402) 827-4900

16909 Lakeside Hills CT
Omaha, NE 68130-4661

601 Rosary Dr
Corning, IA 50841-1683
Phone (641) 322-5245

603 Rosary Dr
Corning, IA 50841-1683
Phone (641) 322-3121

800 Mercy Dr
Council Bluffs, IA 51503-3128

Hospital & facility affiliations

  • CHI Health Mercy Council Bluffs Hospital, Council Bluffs, IA, CCN 160028
  • CHI Health - Mercy Corning Hospital, Corning, IA, CCN 161304
  • CHI Health Immanuel Hospital, Omaha, NE, CCN 280081

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue214
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-43443IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic Family Medicine CurrentSince Apr 1, 2016 Accepting new patients
Alegent Creighton Clinic Family Medicine CurrentSince Aug 30, 2016 Accepting new patients
St. Mary'S Community Hospital CurrentSince Feb 20, 2024 Accepting new patients
St. Mary'S Community Hospital CurrentSince Feb 20, 2024 Accepting new patients

Locations

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

801 Harmony St
Ste 401
Council Bluffs, IA 51503
Phone (402) 399-9990

2771 Solution Ctr
Chicago, IL 60677

1301 Grundman Blvd
Nebraska City, NE 68410
Phone (402) 713-0110

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

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

Organizations & group practices 4

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": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1750613618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 MERCY RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11109 S 84TH ST STE 5800",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464124",
            "telephone_number": "402-827-1577",
            "fax_number": "402-898-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE CALERO",
        "first_name": "LURIS",
        "middle_name": "CECILIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-03",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "26948",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-43443",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

Verify at the official NPI Registry.