Individual provider Active NPI

Robert Rymowicz, D.O.

  • Addiction Psychiatry Physician
  • Omaha, NE
National Provider Identifier
1760935746
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
2993 Issued in NE
Practice address
415 S 25TH Ave
Omaha, NE 68131-3630
Phone
(402) 717-5400
NPI assigned
Jul 26, 2016
Last updated
Jul 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 008746 AZ
Addiction Psychiatry Physician 2084P0802X 20A18123 CA
Addiction Psychiatry Physician 2084P0802X 06889 IA
Addiction Psychiatry Physician 2084P0802X 22381 ND
Addiction Psychiatry Physician 2084P0802X 2993 NE Primary

Addresses

Primary practice location

415 S 25TH Ave
Omaha, NE 68131-3630

Mailing address

10810 N Tatum Blvd Ste 102-309
Phoenix, AZ 85028-6055
Phone (213) 788-8990

Other practice location 1

5655 Lindero Canyon Rd Ste 425
Westlake Village, CA 91362-4046
Phone (213) 788-8990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 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
I20250115001091 IA Practitioner - Psychiatry 4385054949 Reassigns benefits to 1 organization
I20250115003872 NE Practitioner - Psychiatry 4385054949 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alegent Creighton HealthGroup PAC ID 1850285255, shared by 26 NPIs, 137 clinicians

Practice addresses (Care Compare)

7101 Newport Ave
Omaha, NE 68152-2164
Phone (402) 572-2905

801 Harmony St
Suite 302
Council Bluffs, IA 51503-3106
Phone (712) 328-2609

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
06889IAMDEndodontist
20A18123CAMDAddiction Psychiatry Physician
22381NDMDAddiction Psychiatry Physician
2993NEMDAddiction Psychiatry Physician
18123CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Health CurrentSince Jan 13, 2025 Accepting new patients
RX Neuroscience Psychiatry CurrentSince Aug 3, 2025 Accepting new patients
Alegent Creighton Health CurrentSince Dec 21, 2025 Accepting new patients
Alegent Health Bergan Mercy Health System Family Medicine CurrentSince Dec 21, 2025 Accepting new patients
Alegent Creighton Health Psychiatry CurrentSince Jan 13, 2025 Accepting new patients
Alegent Creighton Health Psychiatry CurrentSince Jan 13, 2025 Accepting new patients
Alegent Health Bergan Mercy Health System Past Accepting new patients

Locations

10810 N Tatum Blvd
Ste 102309
Phoenix, AZ 85028
Phone (213) 788-8990

5655 Lindero Canyon Rd
Ste 425
Westlake Village, CA 91362
Phone (213) 788-8990

801 Harmony St
Ste 302
Council Bluffs, IA 51503
Phone (712) 328-2609

2771 Solution Ctr
Chicago, IL 60677

7101 Newport Ave
Omaha, NE 68152
Phone (402) 572-2905

415 S 25th Ct
Omaha, NE 68131
Phone (402) 717-5300

415 S 25th Ave
Omaha, NE 68131
Phone (402) 717-5300

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

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

NPI Registry JSON

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1760935746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 N TATUM BLVD STE 102-309",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286055",
            "telephone_number": "213-788-8990",
            "fax_number": "888-435-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S 25TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681313630",
            "telephone_number": "402-717-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5655 Lindero Canyon Rd Ste 425",
            "address_purpose": "LOCATION",
            "city": "Westlake Village",
            "state": "CA",
            "postal_code": "913624046",
            "country_code": "US",
            "telephone_number": "213-788-8990",
            "fax_number": "888-435-6370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYMOWICZ",
        "first_name": "ROBERT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-26",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "008746",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "CA",
            "license": "20A18123",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "IA",
            "license": "06889",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "ND",
            "license": "22381",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NE",
            "license": "2993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.