Individual provider Active NPI

Svjetlana Dziko, MD

  • Family Medicine Physician
  • Lincoln, NE
National Provider Identifier
1902892227
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22909 Issued in NE
Practice address
6825 S 27TH St
Ste 201
Lincoln, NE 68512-4872
Phone
(402) 434-5235
Fax
(402) 489-2137
NPI assigned
Sep 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22909 NE Primary

Addresses

Primary practice location

6825 S 27TH St
Ste 201
Lincoln, NE 68512-4872

Mailing address

6825 S 27TH St
Ste 201
Lincoln, NE 68512-4872
Phone (402) 434-5235

Other identifiers 1

IdentifierTypeStateIssuer
47055126013MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040825001307 NE Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 8426022237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health and Wellness Center, P.C.Group PAC ID 5698066686, 5 clinicians

Practice addresses (Care Compare)

6825 S 27TH St
Suite 201
Lincoln, NE 68512-4872
Phone (402) 434-5235

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22909NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health & Wellness Center, P.C. Family Medicine CurrentSince Jul 1, 2016 Accepting new patients
Bryan Medical Center Past Accepting new patients

Locations

6825 S 27th St
Ste 201
Lincoln, NE 68512
Phone (402) 434-5235

Interoperability endpoints

  • Direct secure messaging: sdziko@fhwc.gwaydirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1902892227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6825 S 27TH ST",
            "address_2": "STE 201",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685124872",
            "telephone_number": "402-434-5235",
            "fax_number": "402-489-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6825 S 27TH ST",
            "address_2": "STE 201",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685124872",
            "telephone_number": "402-434-5235",
            "fax_number": "402-489-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZIKO",
        "first_name": "SVJETLANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "22909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47055126013",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.