NPIMap

Individual provider Active NPI

Tobias Allen Shinaut, M.D.

  • Family Medicine Physician
  • Omaha, NE
National Provider Identifier
1760695506
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24763 Issued in NE
Practice address
2727 S 144TH St Ste 280
Omaha, NE 68144-5252
Phone
(402) 778-5490
Fax
(402) 614-1404
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 24763 NE Primary

Addresses

Primary practice location

2727 S 144TH St Ste 280
Omaha, NE 68144-5252

Mailing address

2727 S 144TH St Ste 280
Omaha, NE 68144-5252
Phone (402) 778-5490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100817000504 NE Practitioner - Family Practice 4385778042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Midwest Regional Health Services LLCGroup PAC ID 2567454564, 13 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

2727 S 144TH St
Suite 280
Omaha, NE 68144-5252
Phone (402) 745-1145

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
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
24763NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Regional Health Services LLC Family Medicine CurrentSince Jul 26, 2010 Accepting new patients
Nebraska Medical Center Family Medicine Past Accepting new patients
The Nebraska Medical Center Past Accepting new patients

Locations

2727 S 144th St
Ste 280
Omaha, NE 68144
Phone (402) 745-1145

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4ed2ef3a-53e1-48ef-b364-a16c512d3488/

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 8

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1760695506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 S 144TH ST STE 280",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445252",
            "telephone_number": "402-778-5490",
            "fax_number": "402-614-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 S 144TH ST STE 280",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445252",
            "telephone_number": "402-778-5490",
            "fax_number": "402-614-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINAUT",
        "first_name": "TOBIAS",
        "middle_name": "ALLEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "24763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.