Individual provider Active NPI

Eugene Charles Oliveto, MD

  • Psychiatry Physician
  • Bellevue, NE
National Provider Identifier
1811061203
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
12437 Issued in NE
Practice address
2510 Bellevue Medical Center
#145A
Bellevue, NE 68123
Phone
(402) 779-7207
Fax
(402) 779-7210
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 12437 NE Primary

Addresses

Primary practice location

2510 Bellevue Medical Center
#145A
Bellevue, NE 68123

Mailing address

2510 Bellevue Medical Center
#145A
Bellevue, NE 68123
Phone (402) 779-7207

Other identifiers 1

IdentifierTypeStateIssuer
47060553400MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12437NEMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifecare Family Medicine of Bellevue, P.C. Past Accepting new patients
Lutheran Family Services of NE, Inc PastSince Nov 1, 2009 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1811061203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 BELLEVUE MEDICAL CENTER",
            "address_2": "#145A",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "68123",
            "telephone_number": "402-779-7207",
            "fax_number": "402-779-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 BELLEVUE MEDICAL CENTER",
            "address_2": "#145A",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "68123",
            "telephone_number": "402-779-7207",
            "fax_number": "402-779-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVETO",
        "first_name": "EUGENE",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "12437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47060553400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.