Individual provider Active NPI

Dariush Ghaffari, MD

  • Emergency Medicine Physician
  • Omaha, NE
National Provider Identifier
1790851962
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
28708 Issued in IA
Practice address
15002 W Maple Rd
Omaha, NE 68116-5179
Phone
(402) 216-3394
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 28708 IA Primary

Addresses

Primary practice location

15002 W Maple Rd
Omaha, NE 68116-5179

Mailing address

15002 W Maple Rd
Omaha, NE 68116-5179
Phone (402) 216-3394

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20070221000275 IA Practitioner - Emergency MedicinePractitioner - Family Practice 5698722197 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Floyd Valley HealthcareGroup PAC ID 2769385475, shared by 5 NPIs, 35 clinicians

Practice addresses (Care Compare)

714 Lincoln St NE
Le Mars, IA 51031-3314
Phone (712) 546-3338

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18867NEMDPharmacist
28708IAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Floyd Valley Healthcare Current Accepting new patients
Floyd Valley Healthcare CurrentSince Apr 1, 2014 Accepting new patients
Floyd Valley Healthcare Emergency Medicine CurrentSince Apr 1, 2014 Accepting new patients

Locations

714 Lincoln St NE
Le Mars, IA 51031
Phone (712) 546-3338

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1790851962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15002 W MAPLE RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681165179",
            "telephone_number": "402-216-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15002 W MAPLE RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681165179",
            "telephone_number": "402-216-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAFFARI",
        "first_name": "DARIUSH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "28708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.