Individual provider Active NPI

Emlyn K Forsung, DPM

  • Podiatrist
  • Omaha, NE
National Provider Identifier
1801382882
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
384 Issued in NE
Practice address
10040 Regency Cir Ste 345
Omaha, NE 68114-3713
Phone
(402) 541-8336
Fax
(402) 512-8182
NPI assigned
Jul 2, 2018
Last updated
Apr 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 384 NE Primary

Addresses

Primary practice location

10040 Regency Cir Ste 345
Omaha, NE 68114-3713

Mailing address

10040 Regency Cir Ste 345
Omaha, NE 68114-3713
Phone (402) 541-8336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211130002209 NE Practitioner - Podiatry 9032509328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10040 Regency Cir
Suite 345
Omaha, NE 68114-3713
Phone (402) 541-8336

1526 Washington St
Suite a
Blair, NE 68008-1600
Phone (402) 541-8336

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue32
Removal of skin lesions1-10
Removal of nail tissue108
Removal or shaving of skin growth40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Foot and Ankle Specialist, PC Single Specialty CurrentSince Mar 16, 2023 Accepting new patients
Larson Foot Clinic, P.C. Single Specialty Past Accepting new patients

Locations

10040 Regency Cir
Ste 345
Omaha, NE 68114
Phone (402) 541-8336

3346 N 108th St
Omaha, NE 68164
Phone (402) 315-4344

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1801382882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10040 REGENCY CIR STE 345",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143713",
            "telephone_number": "402-541-8336",
            "fax_number": "402-512-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10040 REGENCY CIR STE 345",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143713",
            "telephone_number": "402-541-8336",
            "fax_number": "402-512-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSUNG",
        "first_name": "EMLYN",
        "middle_name": "K",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-02",
        "last_updated": "2024-04-15",
        "certification_date": "2023-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NE",
            "license": "384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.