NPIMap

Organization Active NPI

Neurology Consultants of Nebraska PC

  • Neurology Physician
  • Omaha, NE
National Provider Identifier
1811941073
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROLOGY CONSULTANTS OF NEBRASKA PC
Practice address
4242 Farnam St
Suite 500
Omaha, NE 68131-2806
Phone
(402) 552-2650
Fax
(402) 552-2655
NPI assigned
May 20, 2006
Last updated
Feb 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Authorized official

Name
Pamela M Santamaria, MDNPI 1083693287
Title
President
Phone
(402) 552-2650

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

4242 Farnam St
Suite 500
Omaha, NE 68131-2806

Mailing address

4242 Farnam St
Suite 500
Omaha, NE 68131-2806
Phone (402) 552-2650

Other identifiers 1

IdentifierTypeStateIssuer
10025242300MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050519000963 NE Part B Supplier - Clinic/Group Practice 4385685387 Receives reassigned benefits from 7 practitioners
Practice locations: Bellevue, NE; Omaha, NE; Papillion, NE
O20060601000113 IA Part B Supplier - Clinic/Group Practice 4385685387 Receives reassigned benefits from 1 practitioner
Practice locations: Shenandoah, IA

National Provider Directory

National Provider Directory

Locations

2500 Bellevue Medical Center Dr
#145
Bellevue, NE 68123
Phone (402) 552-2650

810 N 22nd St
#H
Blair, NE 68008
Phone (402) 426-2182

13340 California St
Ste 201
Omaha, NE 68154
Phone (402) 614-1999

4242 Farnam St
Ste 500
Omaha, NE 68131
Phone (402) 552-2650

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1811941073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 FARNAM ST",
            "address_2": "SUITE 500",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312806",
            "telephone_number": "402-552-2650",
            "fax_number": "402-552-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 FARNAM ST",
            "address_2": "SUITE 500",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312806",
            "telephone_number": "402-552-2650",
            "fax_number": "402-552-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY CONSULTANTS OF NEBRASKA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "SANTAMARIA",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-552-2650",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025242300",
            "state": "NE"
        }
    ],
    "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 Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.