Active NPI
Robert C Bossert, MD
- Obstetrics & Gynecology Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 21218
- Practice address
- 16910 Marcy St Ste 200
Omaha, NE 68118-2704 - Phone
- (402) 697-7200
- Fax
- (402) 697-7282
- NPI assigned
- Jan 22, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 21218 | NE | Primary |
Addresses
Primary practice location
16910 Marcy St Ste 200
Omaha, NE 68118-2704
Mailing address
16910 Marcy St Ste 200
Omaha, NE 68118-2704
Phone (402) 697-7200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02640 | Other | NE | BCBS ID |
| 0520130 | Medicaid | IA |
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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110708000084 | NE | Practitioner - Obstetrics/Gynecology | 6002969185 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Nebraska College of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16910 Marcy St
Suite 200
Omaha, NE 68118-2714
Phone (402) 697-7200
Hospital & facility affiliations
- CHI Health Lakeside
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21218 | NE | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Womens Health, L.L.C. | Specialist | Current | Accepting new patients |
| Alegent Creighton Health | Past | Accepting new patients | |
| Kbas LLC | Past | Accepting new patients |
Locations
17001 Lakeside Hills Plz
Ste 100
Omaha, NE 68130
Phone (402) 614-6336
16910 Marcy St
Ste 200
Omaha, NE 68118
Phone (402) 697-7200
Interoperability endpoints
- robert.bossert@kbnsmed.directbygreenway.com
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Omaha, NE
- NPI 1013060045
NE, Specialist
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1649355132
-
- Certified Registered Nurse Anesthetist
- Omaha, NE
- NPI 1225504020
Hospital & facility affiliations 1
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": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1811041304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16910 MARCY ST STE 200",
"city": "OMAHA",
"state": "NE",
"postal_code": "681182704",
"telephone_number": "402-697-7200",
"fax_number": "402-697-7282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16910 MARCY ST STE 200",
"city": "OMAHA",
"state": "NE",
"postal_code": "681182704",
"telephone_number": "402-697-7200",
"fax_number": "402-697-7282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSSERT",
"first_name": "ROBERT",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NE",
"license": "21218",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ID",
"identifier": "02640",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0520130",
"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 Oct 3, 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.