NPIMap

Individual provider Active NPI

Andrew Schroeder, DO

  • Vascular Surgery Physician
  • Omaha, NE
National Provider Identifier
1902300510
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
2750 Issued in NE
Practice address
17404 Burke St Ste 102
Omaha, NE 68118-2242
Phone
(531) 466-4260
Fax
(531) 466-4304
NPI assigned
Mar 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 2750 NE Primary

Addresses

Primary practice location

17404 Burke St Ste 102
Omaha, NE 68118-2242

Mailing address

17404 Burke St Ste 102
Omaha, NE 68118-2242
Phone (531) 466-4260

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
I20230718004058 NE Practitioner - Vascular Surgery 7416208392 Reassigns benefits to 4 organizations
I20230922002018 IA Practitioner - Vascular Surgery 7416208392 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular and Interventional Radiology of SiouxlandGroup PAC ID 7113330663, 24 clinicians
Ovc Physician Partners LLCGroup PAC ID 1557617875, 3 clinicians
Sage Medical Prof LLCGroup PAC ID 4385992619, 15 clinicians

Practice addresses (Care Compare)

100 Hospital Dr
Pender, NE 68047-4507
Phone (605) 217-5610

17404 Burke St
Suite 102
Omaha, NE 68118-2242
Phone (531) 466-4260

17410 Burke St
Suite 105
Omaha, NE 68118-2245
Phone (531) 444-4757

17410 Burke St
Suite 105
Omaha, NE 68118-2250
Phone (531) 444-4757

800 Mercy Dr
Suite 110
Council Bluffs, IA 51503-3128
Phone (531) 466-4260

801 5TH St
Sioux City, IA 51101-1326
Phone (605) 217-5617

Hospital & facility affiliations

  • CHI Health Bergan Mercy Hospital, Omaha, NE, CCN 280060
  • CHI Health Mercy Council Bluffs Hospital, Council Bluffs, IA, CCN 160028
  • Memorial Community Hospital & Health System Hospital, Blair, NE, CCN 281359
  • CHI Health Immanuel Hospital, Omaha, NE, CCN 280081
  • Shenandoah Medical Center Hospital, Shenandoah, IA, CCN 161366

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal77
Leg revascularization (restoring blood flow)55

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ovc Physician Partners, LLC CurrentSince Feb 24, 2024 Accepting new patients
United Vascular of Omaha LLC CurrentSince Jun 22, 2025 Accepting new patients
Sage Medical Prof LLC Vascular Surgery CurrentSince Jun 17, 2023 Accepting new patients

Locations

17404 Burke St
Ste 102
Omaha, NE 68118
Phone (531) 466-4260

17410 Burke St
Ste 105
Omaha, NE 68118
Phone (531) 444-4757

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1902300510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17404 BURKE ST STE 102",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182242",
            "telephone_number": "531-466-4260",
            "fax_number": "531-466-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17404 BURKE ST STE 102",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182242",
            "telephone_number": "531-466-4260",
            "fax_number": "531-466-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "ANDREW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-19",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NE",
            "license": "2750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.