Individual provider Active NPI

Eric J Van de Graaff, MD

  • Cardiovascular Disease Physician
  • Omaha, NE
National Provider Identifier
1790861920
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
22853 Issued in NE
Practice address
1120 N 103Rd PLZ Ste 100
Omaha, NE 68114-1119
Phone
(402) 391-5055
Fax
(402) 391-5053
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35616 IA
Cardiovascular Disease Physician 207RC0000X 22853 NE Primary

Addresses

Primary practice location

1120 N 103Rd PLZ Ste 100
Omaha, NE 68114-1119

Mailing address

PO Box 3755
Omaha, NE 68103-0755
Phone (402) 354-2100

Other identifiers 4

IdentifierTypeStateIssuer
200262110AOtherKSMEDICAID
47070592313MedicaidNE
05581066OtherIAMEDICAID
I12883OtherIAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 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
I20040708000894 NE Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9335127299 Reassigns benefits to 3 organizations
I20040802000093 IA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9335127299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Utah School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Clinic IncGroup PAC ID 4880506062, 557 clinicians
Alegent Creighton ClinicGroup PAC ID 1951210418, 951 clinicians
Nebraska Methodist HospitalGroup PAC ID 6901707447, 132 clinicians

Practice addresses (Care Compare)

1120 N 103Rd PLZ
100 Methodist Physicians Clinic Heart Consu
Omaha, NE 68114-1119
Phone (402) 391-5055

800 Mercy Dr
Council Bluffs, IA 51503-3128
Phone (712) 328-5490

8303 Dodge St
Omaha, NE 68114-4108
Phone (402) 343-1122

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35616IAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Care Services Inc CurrentSince Sep 1, 2021 Accepting new patients
Physicians Clinic Inc CurrentSince Aug 31, 2025 Accepting new patients
Alegent Creighton Clinic Cardiovascular Disease CurrentSince Mar 17, 2008 Accepting new patients
Nebraska Methodist Hospital Cardiovascular Disease CurrentSince Aug 31, 2025 Accepting new patients
Franciscan Care Services Inc Cardiovascular Disease CurrentSince Sep 1, 2021 Accepting new patients
Alegent Creighton Clinic Cardiovascular Disease Current Accepting new patients
Nebraska Heart Institute PC Cardiovascular Disease Past Accepting new patients
Jeffrey a Passer MD PC Past Accepting new patients

Locations

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

707 N 190th Plz
Elkhorn, NE 68022
Phone (402) 354-4000

2540 N Healthy Way
Fremont, NE 68025
Phone (402) 721-3133

5401 South St
Lincoln, NE 68506
Phone (402) 413-3000

6901 N 72nd St
Omaha, NE 68122
Phone (402) 572-2121

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

1120 N 103rd Plz
Ste 100
Omaha, NE 68114
Phone (402) 391-5055

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

825 S 169th St
Omaha, NE 68118
Phone (402) 354-3370

7500 Mercy Rd
Omaha, NE 68124
Phone (402) 398-5880

10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405

16120 W Dodge Rd
Omaha, NE 68118
Phone (402) 354-0550

8303 W Dodge Rd
Omaha, NE 68114
Phone (402) 354-4000

430 N Monitor St
West Point, NE 68788
Phone (402) 372-2404

Interoperability endpoints

  • Direct secure messaging: evandegraaff8555@achce.catholichealth.net

Organizations & group practices 8

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 7

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1790861920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3755",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681030755",
            "telephone_number": "402-354-2100",
            "fax_number": "402-354-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N 103RD PLZ STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681141119",
            "telephone_number": "402-391-5055",
            "fax_number": "402-391-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DE GRAAFF",
        "first_name": "ERIC",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IA",
            "license": "35616",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NE",
            "license": "22853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "200262110A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47070592313",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "05581066",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "I12883",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.