Matthew M Jaksha, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

21482 Issued in NE

Practice address

7500 Mercy Rd
Alegent Bergan Mercy Dept of Radiology
Omaha, NE 68124-2319

Phone

(402) 398-5890

NPI assigned

Jun 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 11

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

Specialty

Diagnostic Radiology

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiology Consultants PCGroup PAC ID 8325947799, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI Health Bergan Mercy Hospital, Omaha, NE, CCN 280060
• Methodist Fremont Health Hospital, Fremont, NE, CCN 280077
• Cass County Memorial Hospital Hospital, Atlantic, IA, CCN 161376
• CHI Health St. Elizabeth Hospital, Lincoln, NE, CCN 280020
• CHI Health Lakeside Hospital, Omaha, NE, CCN 280130

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Radiology Consultants PC

  • Diagnostic Radiology Physician
  • Omaha, NE
  • NPI 1215969407

  IA

  Medicare reassignment Care Compare group NPD
• Think Aksarben, LLC

  • Multi-Specialty Clinic/Center
  • Omaha, NE
  • NPI 1316357676
  Medicare reassignment NPD
• Urology Cancer Center PC

  • Hematology & Oncology Physician
  • Omaha, NE
  • NPI 1619279312
  Medicare reassignment
• Alegent Creighton Health

  • Body Imaging Physician
  • Omaha, NE
  • NPI 1104251628
  NPD
• Oncology Hematology West, PC

  • Community/Retail Pharmacy
  • Omaha, NE
  • NPI 1164833307
  NPD (past)
• Oncology Hematology West, PC

  • Hematology & Oncology Physician
  • Omaha, NE
  • NPI 1932178530
  NPD (past)
• Professional Medical Imaging LLC

  • Specialist
  • Lincoln, NE
  • NPI 1598944795
  NPD (past)
• Diagnostic Imaging Associates LTD

  • Diagnostic Radiology Physician
  • Chesterfield, MO
  • NPI 1033142146
  NPD (past)
• Midwest Radiological Associates PC

  • Diagnostic Radiology Physician
  • St Louis, MO
  • NPI 1821013418
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alegent Creighton Health

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1649355132
  Care Compare affiliation
• Alegent Health Bergan Mercy Health System

  • Psychiatric Hospital Unit
  • Omaha, NE
  • NPI 1396969499
  Care Compare affiliation
• Alegent Health Bergan Mercy Health System

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1508941097
  Care Compare affiliation
• Methodist Fremont Health

  • Rural Acute Care Hospital
  • Fremont, NE
  • NPI 1033698543
  Care Compare affiliation
• Methodist Fremont Health

  • Rural Acute Care Hospital
  • Fremont, NE
  • NPI 1376498543
  Care Compare affiliation
• Saint Elizabeth Regional Medical Center

  • General Acute Care Hospital
  • Lincoln, NE
  • NPI 1336155738
  Care Compare affiliation
• Cass County Memorial Hospital

  • Critical Access Hospital
  • Atlantic, IA
  • NPI 1093760944
  Care Compare affiliation

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1801832910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4460",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68104",
            "telephone_number": "866-491-5807",
            "fax_number": "913-491-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 MERCY RD",
            "address_2": "ALEGENT BERGAN MERCY DEPT OF RADIOLOGY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242319",
            "telephone_number": "402-398-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKSHA",
        "first_name": "MATTHEW",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "21482",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "33654",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS",
            "identifier": "20829",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4223388",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "03518",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1223388",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NE LICENSE #",
            "identifier": "21482",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IA CONTROLLED SUBSTANCE",
            "identifier": "BJ6988907",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "22367",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0223388",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1571877",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IA LICENSE #",
            "identifier": "33654",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0571877",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manisha Ashok Jain, MBBS
• Lakshmi Gokulnath Jaisankar, MBBS
• Lakshmi Gopinath Jaisankar, MD
• Scott Paul Jakopovic, PHARMD
• Jonathan Andrew Jaksha, MD
• David Jal
• Anvesh Jalasutram
• Mohamed Alieu Jalloh, PHARM.D.
• Luul Hassan Jama
• Katrina Celeste Jamal, MSN, APRN, CPNP

• Diagnostic Radiology Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Diagnostic Radiology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.