Individual provider Active NPI

James D Vargo, MD

  • Plastic and Reconstructive Surgery Physician
  • Omaha, NE
National Provider Identifier
1780002659
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
33681 Issued in NE
Practice address
8404 Indian Hills Dr FL 2
Omaha, NE 68114-4041
Phone
(402) 955-7871
NPI assigned
Mar 28, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 33681 NE Primary

Addresses

Primary practice location

8404 Indian Hills Dr FL 2
Omaha, NE 68114-4041

Mailing address

8404 Indian Hills Dr FL 2
Omaha, NE 68114-4041
Phone (402) 955-7871

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
I20260314000072 NE Practitioner - Plastic and Reconstructive Surgery 0345549127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Ohio State University College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Omaha Dermatology LLCGroup PAC ID 6709239742, 2 clinicians

Practice addresses (Care Compare)

11717 Bryan St
Unit 105
Gretna, NE 68028-5147
Phone (402) 281-9080

Hospital & facility affiliations

  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33681NEMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Omaha Dermatology, LLC CurrentSince Apr 1, 2026 Accepting new patients
Nebraska Pediatric Practice, Inc Past Accepting new patients
Children'S Hospital & Medical Center Past Accepting new patients

Locations

11717 Bryan St
Ste 105
Gretna, NE 68028
Phone (402) 281-9080

Organizations & group practices 3

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 1

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": "1395964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1780002659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8404 INDIAN HILLS DR FL 2",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144041",
            "telephone_number": "402-955-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8404 INDIAN HILLS DR FL 2",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144041",
            "telephone_number": "402-955-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGO",
        "first_name": "JAMES",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-28",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NE",
            "license": "33681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.