Kaliprasad N Ayala, MD
Individual provider Active NPI Cardiovascular Disease Physician · Lincoln, NE
NPI 1922088657 · NPPES record last updated Oct 17, 2012
Key facts
- NPI
- 1922088657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 18871 (NE)
- Practice address
- 7440 S 91St St
Lincoln, NE 68526-9797 - Phone
- (402) 489-6555
- Fax
- (402) 328-3770
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Together Clinic LLC
Phelps Memorial Health Center
Cardiovascular Clinic of Nebraska
Practice addresses (Care Compare)
Lincoln, NE 68526
Phone (816) 666-4201
1215 Tibbals St
Holdrege, NE 68949-1255
Phone (308) 995-2211
6940 Van Dorn St
Suite 201
Lincoln, NE 68506-2858
Phone (402) 413-6363
708 N 18TH St
Marysville, KS 66508-1338
Phone (785) 562-4459
Hospital & facility affiliations
- Community Memorial Healthcare, Inc.
- York General Health Care Services
- Phelps Memorial Health Center
- Lincoln Surgical Hospital
- Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NE, KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080812000624 | NE | Practitioner - Cardiovascular Disease (Cardiology) | 4486562196 | Reassigns benefits to 4 organizations |
| I20110913000424 | KS | Practitioner - Cardiovascular Disease (Cardiology) | 4486562196 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-38981 | KS | MD | Family Medicine Physician |
| 04-24412 | IA | MD | Cardiovascular Disease Physician |
| 04-24412 | KS | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phelps Memorial Health Center | Current |
Accepting new patients | |
| Phelps Memorial Health Center | Current | Accepting new patients | |
| Phelps Memorial Health Center | Current |
Accepting new patients | |
| Together Clinic LLC | Current |
Accepting new patients | |
| Husker Rehabilitation and Wellness Centers, P.C. | Current |
Accepting new patients | |
| Teleflo LLC | Past |
Accepting new patients |
Locations
1215 Tibbals St
Holdrege, NE 68949
Phone (308) 995-2211
4445 S 86th St
#100
Lincoln, NE 68526
Phone (402) 261-4739
Interoperability endpoints
- kaliprasad.ayala.p1@direct.pioneerheart.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 04-24412 | KS | |
| Cardiovascular Disease Physician | 207RC0000X | 18871 | NE | Yes |
| Cardiovascular Disease Physician | 207RC0000X | 04-24412 | IA |
Addresses
Primary practice location
7440 S 91St St
Lincoln, NE 68526-9797
Mailing address
7440 S 91St St
Lincoln, NE 68526-9797
Phone (402) 489-6555
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10026072500 | Medicaid | NE | |
| 10026072000 | Medicaid | NE | |
| 10026072300 | Medicaid | NE | |
| 47070592301 | Medicaid | NE | |
| 47070592306 | Medicaid | NE | |
| 0537050 | Medicaid | IA | |
| 10026072400 | Medicaid | NE | |
| 10026072200 | Medicaid | NE | |
| 10026072600 | Medicaid | NE | |
| 47070592305 | Medicaid | NE | |
| 47070592313 | Medicaid | NE | |
| 100156660B | Medicaid | KS | |
| 47070592300 | Medicaid | NE | |
| 47070592302 | Medicaid | NE |
Other providers in Lincoln, NE
- Darar Awad
- Donna Awakuni-Swetland
- Hanan Awil
- Michelle Axberg
- Jose Ayala
- Sonia Ayala
- Moe Aye
- Pyu San Da Aye
- Achuei Ayei
- John F Ayers
All providers in Lincoln, NE · Cardiovascular Disease Physician in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.