NPIMap

Individual provider Active NPI

Uma D Nooka, MD

  • Family Medicine Physician
  • Lincoln, NE
National Provider Identifier
1790776573
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22628 Issued in NE
Practice address
4701 Normal Blvd
Lincoln, NE 68506
Phone
(402) 484-5656
Fax
(402) 484-5741
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

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 22628 NE Primary

Addresses

Primary practice location

4701 Normal Blvd
Lincoln, NE 68506

Mailing address

4701 Normal Blvd
Lincoln, NE 68506-5563
Phone (402) 484-5656

Other identifiers 1

IdentifierTypeStateIssuer
47083425413MedicaidNE

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
I20040518001080 NE Practitioner - Family Practice 6103817317 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Medical Clinic LLPGroup PAC ID 5799925475, 7 clinicians

Practice addresses (Care Compare)

4701 Normal Blvd
Lincoln, NE 68506-5563
Phone (402) 488-5050

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saunders Medical Center Current Accepting new patients
Alegent Creighton Clinic Family Medicine Past Accepting new patients
Capital Medical Clinic LLP Family Medicine Past Accepting new patients
Family Healthcare of Wahoo, LLC Family Medicine Past Accepting new patients

Locations

1760 County Road J
Wahoo, NE 68066
Phone (402) 443-4191

Organizations & group practices 6

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 10

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365120000000",
    "number": "1790776573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 NORMAL BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065563",
            "telephone_number": "402-484-5656",
            "fax_number": "402-484-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 NORMAL BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68506",
            "telephone_number": "402-484-5656",
            "fax_number": "402-484-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOOKA",
        "first_name": "UMA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2013-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "22628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47083425413",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.