Individual provider Active NPI

Thapat Wannarong, MD

  • Neurology Physician
  • Omaha, NE
National Provider Identifier
1932693157
Registry record updated Aug 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
36686 Issued in NE
Practice address
4242 Farnam St Ste 650
Omaha, NE 68131-2813
Phone
(402) 559-8600
NPI assigned
Jun 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2022-00478 NC
Neurology Physician 2084N0400X 72793 MN
Neurology Physician 2084N0400X 36686 NE Primary

Addresses

Primary practice location

4242 Farnam St Ste 650
Omaha, NE 68131-2813

Mailing address

988435 Nebraska Medical Ctr
Omaha, NE 68198-8435
Phone (402) 559-4086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240712003825 MN Practitioner - Neurology 6103174727 Reassigns benefits to 1 organization
I20250829004210 NE Practitioner - Neurology 6103174727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unmc PhysiciansGroup PAC ID 6002728391, 1,490 clinicians

Practice addresses (Care Compare)

4242 Farnam St
Suite 650
Omaha, NE 68131-2813
Phone (402) 559-8600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022-00478NCMDNeurology Physician
36686NEMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Current Accepting new patients
Unmc Physicians CurrentSince Aug 18, 2025 Accepting new patients
Mayo Clinic CurrentSince Jul 1, 2024 Accepting new patients
Mayo Clinic CurrentSince Jul 1, 2024 Accepting new patients

Locations

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

17405 Burke St
Ste 50
Omaha, NE 68118

988435 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5804

4242 Farnam St
Ste 650
Omaha, NE 68131
Phone (402) 502-8787

Interoperability endpoints

  • Direct secure messaging: twannarong524027@direct.nebraskamed.com

Organizations & group practices 4

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 4

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": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756598400000",
    "number": "1932693157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988435 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681988435",
            "telephone_number": "402-559-4086",
            "fax_number": "402-559-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 FARNAM ST STE 650",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312813",
            "telephone_number": "402-559-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANNARONG",
        "first_name": "THAPAT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-20",
        "last_updated": "2025-08-31",
        "certification_date": "2025-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2022-00478",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MN",
            "license": "72793",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NE",
            "license": "36686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.