NPIMap

Individual provider Active NPI

Andrew Robert Smith, M.D.

  • Psychiatry Physician
  • Omaha, NE
National Provider Identifier
1871908814
Registry record updated Jun 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
7152 Issued in NE
Practice address
985582 Nebraska Medical Ctr
Cu Department of Psychiatry
Omaha, NE 68198-5582
Phone
(402) 552-6222
NPI assigned
Jun 28, 2014
Last updated
Jun 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2014

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 7152 NE Primary

Addresses

Primary practice location

985582 Nebraska Medical Ctr
Cu Department of Psychiatry
Omaha, NE 68198-5582

Mailing address

12412 Bel Dr
Omaha, NE 68144-2723
Phone (402) 360-4179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180618001664 NE Practitioner - Psychiatry 5496976086 Reassigns benefits to 3 organizations
I20211028002183 IA Practitioner - Psychiatry 5496976086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Nebraska College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton HealthGroup PAC ID 1850285255, shared by 26 NPIs, 137 clinicians
Faith Regional Physician Services LLCGroup PAC ID 5193786168, 194 clinicians

Practice addresses (Care Compare)

2001 S 75TH St
Omaha, NE 68124-2475
Phone (402) 398-5550

2700 W Norfolk Ave
Norfolk, NE 68701-4438

47452 268 Ave
Suite C
Humphrey, NE 68642-5178
Phone (402) 923-0150

801 Harmony St
Suite 302
Council Bluffs, IA 51503-3106
Phone (712) 328-2609

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7152NEMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Health Psychiatry CurrentSince Jan 1, 2021 Accepting new patients
Alegent Creighton Health CurrentSince Jan 1, 2021 Accepting new patients
Alegent Creighton Health Psychiatry CurrentSince Oct 28, 2021 Accepting new patients
Faith Regional Health Services Past Accepting new patients
Alegent Health Bergan Mercy Health System Past Accepting new patients
Alegent Health Bergan Mercy Health System Past Accepting new patients

Locations

801 Harmony St
Ste 302
Council Bluffs, IA 51503
Phone (712) 328-2609

2771 Solution Ctr
Chicago, IL 60677

2001 S 75th St
Omaha, NE 68124
Phone (402) 398-5550

7101 Newport Ave
Omaha, NE 68152
Phone (402) 572-2905

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

Organizations & group practices 8

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": "1403913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403913600000",
    "number": "1871908814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12412 BEL DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442723",
            "telephone_number": "402-360-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985582 NEBRASKA MEDICAL CTR",
            "address_2": "CU DEPARTMENT OF PSYCHIATRY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681985582",
            "telephone_number": "402-552-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANDREW",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-28",
        "last_updated": "2014-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "7152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.