Active NPI
Eric J Van de Graaff, MD
- Cardiovascular Disease Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 22853
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200262110A | Other | KS | MEDICAID |
| 47070592313 | Medicaid | NE | |
| 05581066 | Other | IA | MEDICAID |
| I12883 | Other | IA | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Utah School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- The Nebraska Methodist Hospital
- Methodist Fremont Health
- CHI Health Bergan Mercy
- Methodist Jennie Edmundson
- CHI Health Lakeside
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 66 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35616 | IA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Care Services Inc | Current | Accepting new patients | |
| Physicians Clinic Inc | Current | Accepting new patients | |
| Alegent Creighton Clinic | Cardiovascular Disease | Current | Accepting new patients |
| Nebraska Methodist Hospital | Cardiovascular Disease | Current | Accepting new patients |
| Franciscan Care Services Inc | Cardiovascular Disease | Current | 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
- 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.
-
- Emergency Medicine Physician
- Omaha, NE
- NPI 1689628372
Cardiovascular Disease
-
- Family Medicine Physician
- Omaha, NE
- NPI 1821049156
-
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
Cardiovascular Disease
-
- Certified Registered Nurse Anesthetist
- West Point, NE
- NPI 1043224975
Cardiovascular Disease
-
- Internal Medicine Physician
- Omaha, NE
- NPI 1518227859
Cardiovascular Disease
-
- Rural Health Clinic/Center
- Oakland, NE
- NPI 1699466052
-
- Internal Medicine Physician
- Omaha, NE
- NPI 1497006787
-
- Cardiovascular Disease Physician
- Lincoln, NE
- NPI 1336125202
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1649355132
-
- Psychiatric Hospital Unit
- Omaha, NE
- NPI 1396969499
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1508941097
-
- Rural Acute Care Hospital
- Fremont, NE
- NPI 1033698543
-
- Rural Acute Care Hospital
- Fremont, NE
- NPI 1376498543
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
-
- General Acute Care Hospital
- Council Bluffs, IA
- NPI 1457448755
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.