Individual provider Active NPI

Thoetchai Peeraphatdit, M.D.

  • Gastroenterology Physician
  • Omaha, NE
National Provider Identifier
1801159959
Registry record updated Jan 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
32544 Issued in NE
Practice address
8901 Indian Hills Dr Ste 200
Omaha, NE 68114-4032
Phone
(402) 397-7057
NPI assigned
Jun 22, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 32544 NE Primary

Addresses

Primary practice location

8901 Indian Hills Dr Ste 200
Omaha, NE 68114-4032

Mailing address

8901 Indian Hills Dr Ste 200
Omaha, NE 68114-4032

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
I20200723003339 NE Practitioner - Gastroenterology 8820382039 Reassigns benefits to 3 organizations
I20240826001228 IA Practitioner - Gastroenterology 8820382039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Fremont HealthGroup PAC ID 7911258520, 89 clinicians
Midwest Gastrointestinal Associates PCGroup PAC ID 3779575766, 54 clinicians

Practice addresses (Care Compare)

207 S Engdahl Ave
Oakland Heights Assisted Living
Oakland, NE 68045-1419
Phone (402) 685-5683

450 E 23Rd St
Fremont, NE 68025-2387
Phone (402) 721-1610

808 E Pierce St
Suite 301
Council Bluffs, IA 51503-4603
Phone (712) 396-2997

8901 Indian Hills Dr
Suite 200
Omaha, NE 68114-4032
Phone (402) 397-7057

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy106
Upper gastrointestinal (GI) endoscopy for acid reflux111

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Fremont Health Internal Medicine CurrentSince Sep 3, 2024 Accepting new patients
Midwest Gastrointestinal Associates PC Gastroenterology CurrentSince Sep 3, 2024 Accepting new patients
Unmc Physicians CurrentSince Jul 1, 2020 Accepting new patients
Jennie Edmundson Memorial Hospital PastSince Sep 3, 2024 Accepting new patients

Locations

808 E Pierce St
Ste 301
Council Bluffs, IA 51503
Phone (712) 396-2997

933 E Pierce St
Council Bluffs, IA 51503
Phone (712) 328-6000

207 S Engdahl Ave
Oakland, NE 68045
Phone (402) 685-5683

8901 Indian Hills Dr
Ste 200
Omaha, NE 68114
Phone (402) 397-7057

17001 Lakeside Hills Plz
Ste 200
Omaha, NE 68130
Phone (402) 885-8700

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736640000000",
    "number": "1801159959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 INDIAN HILLS DR STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 INDIAN HILLS DR STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144032",
            "telephone_number": "402-397-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEERAPHATDIT",
        "first_name": "THOETCHAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2025-01-12",
        "certification_date": "2025-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NE",
            "license": "32544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.