Organization Active NPI

Doctors for Senior Health PC

  • Internal Medicine Physician
  • Omaha, NE
National Provider Identifier
1821003294
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DOCTORS FOR SENIOR HEALTH PC
Practice address
18011 Oak Street
Unit 18011a
Omaha, NE 68130
Phone
(402) 502-9454
Fax
(402) 505-8209
NPI assigned
Jul 31, 2006
Last updated
Nov 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Authorized official

Name
David G SharpNPI 1932117470
Title
President
Phone
(402) 758-5800

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

18011 Oak Street
Unit 18011a
Omaha, NE 68130

Mailing address

18011 Oak St Ste a
Omaha, NE 68130-6057
Phone (402) 435-1400

Other identifiers 3

IdentifierTypeStateIssuer
10025412100MedicaidNE
DF0233OtherNEMEDICARE RAILROAD
30696OtherNEBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060818000082 NE Part B Supplier - Clinic/Group Practice 9032112792 Receives reassigned benefits from 4 practitioners
Practice locations: Omaha, NE
O20230825001251 IA Part B Supplier - Clinic/Group Practice 9032112792 Practice locations: Council Bluffs, IA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2020698Doctors for Senior Health PC18011 Oak Street Unit a, Omaha, NE 68130Certificate of waiverFeb 24, 2027

National Provider Directory

National Provider Directory

Locations

3270 Folkways Blvd
Ste 101
Lincoln, NE 68504

18011 Oak St
Ste 18011A
Omaha, NE 68130
Phone (402) 502-9454

18011 Oak St
Ste A
Omaha, NE 68130
Phone (402) 502-9454

18011 Oak St
Unit 18011A
Omaha, NE 68130
Phone (402) 502-9454

6809 N 68th Plz
Omaha, NE 68152
Phone (402) 572-2134

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3d9dbe31-b367-4223-9466-3a189a9f7ec9/

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1821003294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18011 OAK ST STE A",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681306057",
            "telephone_number": "402-435-1400",
            "fax_number": "402-435-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18011 OAK STREET",
            "address_2": "UNIT 18011A",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68130",
            "telephone_number": "402-502-9454",
            "fax_number": "402-505-8209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS FOR SENIOR HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-758-5800"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025412100",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DF0233",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "30696",
            "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 Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.