Individual provider Active NPI

Steven C Koukol, MD

  • Urology Physician
  • Omaha, NE
National Provider Identifier
1760484059
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
19416 Issued in NE
Practice address
111 S 90TH St
Omaha, NE 68114-3907
Phone
(402) 397-9800
Fax
(402) 397-7591
NPI assigned
Jun 1, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 19416 NE Primary

Addresses

Primary practice location

111 S 90TH St
Omaha, NE 68114-3907

Mailing address

111 S 90TH St
Omaha, NE 68114-3907
Phone (402) 397-9800

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
I20090303000278 NE Practitioner - Urology 4082644737 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Nebraska College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Clinic IncGroup PAC ID 4880506062, 557 clinicians
Urology Center PCGroup PAC ID 2961396833, 43 clinicians
Unmc PhysiciansGroup PAC ID 6002728391, 1,490 clinicians

Practice addresses (Care Compare)

10060 Regency Cir
Omaha, NE 68114-3732
Phone (402) 354-1570

111 S 90TH St
Urohealth Partners
Omaha, NE 68114-3907
Phone (402) 397-9800

Emile 42ND St
Omaha, NE 68198-0001
Phone (402) 559-4015

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19416NEMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unmc Physicians CurrentSince Aug 29, 2013 Accepting new patients
Urology Center PC Urology CurrentSince Nov 16, 2009 Accepting new patients
Physicians Clinic Inc CurrentSince Oct 28, 2008 Accepting new patients
Urology Center PC Urology CurrentSince Nov 16, 2009 Accepting new patients

Locations

220 Essie Davison Dr
Clarinda, IA 51632
Phone (712) 542-8330

4508 38th St
Ste 165
Columbus, NE 68601
Phone (402) 562-4444

4508 38th St
Ste 210
Columbus, NE 68601
Phone (402) 488-6969

111 S 90th St
Omaha, NE 68114
Phone (402) 397-7178

105 S 90th St
Omaha, NE 68114
Phone (402) 397-9800

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

304 N 179th St
Ste 206
Omaha, NE 68118
Phone (402) 397-9800

10707 Pacific St
Ste 101
Omaha, NE 68114
Phone (402) 397-9800

10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405

Interoperability endpoints

  • Direct secure messaging: steven.koukol.1@7144.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/7144/brand/1/csg/1/fhir/r4
  • Direct secure messaging: steven.koukol.p1@direct.tuc.nextgenshare.com
  • Direct secure messaging: skoukol10067@direct.nebraskamed.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1760484059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S 90TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143907",
            "telephone_number": "402-397-9800",
            "fax_number": "402-397-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 90TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143907",
            "telephone_number": "402-397-9800",
            "fax_number": "402-397-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUKOL",
        "first_name": "STEVEN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NE",
            "license": "19416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.