Active NPI
Jose R Novoa, MD
- Occupational Medicine Physician
- Omaha, NE
National Provider Identifier
1770533606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 17836
- Practice address
- 140 S 77TH St
Workfit
Omaha, NE 68114 - Phone
- (402) 934-4535
- Fax
- (402) 934-5939
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 17836 | NE | |
| Occupational Medicine Physician | 2083X0100X | 17836 | NE | Primary |
Addresses
Primary practice location
140 S 77TH St
Workfit
Omaha, NE 68114
Mailing address
140 S 77TH St
Omaha, NE 68114
Phone (402) 934-4535
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010051130 | Other | RAILROAD MEDICARE | |
| 002475 | Other | RAILROAD MEDICARE - GRP | |
| 47064207113 | Medicaid | NE | |
| 0972984 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Critical Care Associates LLP | Emergency Medicine | Past | Accepting new patients |
| Workfit Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Omaha, NE
- NPI 1750324885
-
- Clinic/Center
- Omaha, NE
- NPI 1922152073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407888000000",
"number": "1770533606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 S 77TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "68114",
"telephone_number": "402-934-4535",
"fax_number": "402-934-5939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 S 77TH ST",
"address_2": "WORKFIT",
"city": "OMAHA",
"state": "NE",
"postal_code": "68114",
"telephone_number": "402-934-4535",
"fax_number": "402-934-5939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVOA",
"first_name": "JOSE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2014-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NE",
"license": "17836",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "NE",
"license": "17836",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "010051130",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE - GRP",
"identifier": "002475",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47064207113",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0972984",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.