Individual provider Active NPI

James M Tracy, D.O.

  • Allergy & Immunology Physician
  • Omaha, NE
National Provider Identifier
1801888300
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
154 Issued in NE
Practice address
2808 S 80 Ave
Ste 210
Omaha, NE 68124-3253
Phone
(402) 391-1800
Fax
(402) 391-1563
NPI assigned
Aug 19, 2005
Last updated
Jun 30, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 154 NE Primary

Addresses

Primary practice location

2808 S 80 Ave
Ste 210
Omaha, NE 68124-3253

Mailing address

2808 S 80 Ave
Ste 210
Omaha, NE 68124-3253
Phone (402) 391-1800

Other identifiers 2

IdentifierTypeStateIssuer
47060801501MedicaidNE
47060801514MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 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
I20050512000858 IA Practitioner - Allergy/ImmunologyPractitioner - Other (Physician) 7416923602 Reassigns benefits to 1 organization
I20101105001182 NE Practitioner - Allergy/Immunology 7416923602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of New England, College of Osteo Medicine, 1984
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

1213 Garfield Ave
Harlan, IA 51537-2057
Phone (402) 391-1800

2808 S 80TH Ave
Omaha, NE 68124-3253

3434 W Broadway
Council Bluffs, IA 51501-3291
Phone (402) 391-1800

401 E Gold Coast Rd
Suite 333
Papillion, NE 68046-4194
Phone (402) 391-1800

510 N Green St
Valentine, NE 69201-1932
Phone (402) 391-1800

600 N Cotner Blvd
Lincoln, NE 68505-2343
Phone (402) 464-5969

723 W Fairview St
Albion, NE 68620-1725
Phone (402) 464-5969

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy, Asthma & Immunology Associates P.C. Allergy & Immunology CurrentSince Mar 15, 1995 Accepting new patients
Creighton University Past Accepting new patients
Creighton University Past Accepting new patients
Boone County Health Center Past Accepting new patients
Alegent Creighton Clinic Past Accepting new patients
Allergy, Asthma and Immunology Associates, PC Allergy & Immunology PastSince Jan 1, 1990 Accepting new patients

Locations

3434 W Broadway
Council Bluffs, IA 51501
Phone (712) 325-0022

1213 Garfield Ave
Harlan, IA 51537
Phone (712) 755-4316

723 W Fairview St
#151
Albion, NE 68620
Phone (402) 395-2191

600 N Cotner Blvd
Ste 208
Lincoln, NE 68505

2808 S 80th Ave
Ste 210
Omaha, NE 68124

401 E Gold Coast Rd
Ste 333
Papillion, NE 68046
Phone (402) 592-5140

510 N Green St
Valentine, NE 69201
Phone (402) 376-3770

Organizations & group practices 7

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 3

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309392000000",
    "number": "1801888300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 S 80 AVE",
            "address_2": "STE 210",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243253",
            "telephone_number": "402-391-1800",
            "fax_number": "402-391-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 S 80 AVE",
            "address_2": "STE 210",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243253",
            "telephone_number": "402-391-1800",
            "fax_number": "402-391-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "JAMES",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2011-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NE",
            "license": "154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47060801501",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47060801514",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.