Individual provider Active NPI

Eileen T Connolly-Inda, MD

  • Anesthesiology Physician
  • Omaha, NE
National Provider Identifier
1962469288
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
22553 Issued in NE
Practice address
988095 Nebraska Medical Ctr
Omaha, NE 68198-8095
Phone
(402) 559-9800
Fax
(402) 559-9840
NPI assigned
Apr 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 22553 NE Primary

Addresses

Primary practice location

988095 Nebraska Medical Ctr
Omaha, NE 68198-8095

Mailing address

988095 Nebraska Medical Ctr
Omaha, NE 68198-8095
Phone (402) 559-9800

Other identifiers 1

IdentifierTypeStateIssuer
47078557501MedicaidNE

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
I20040503001041 NE Practitioner - Anesthesiology 9133117880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Creighton University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Father Flanagans Boys Home 93 clinicians

Practice addresses (Care Compare)

14000 Boys Town Hospital Rd
Boys Town, NE 68010-7513
Phone (531) 355-6000

14080 Boys Town Hospital Rd
Boys Town, NE 68010-7513
Phone (402) 778-6900

14092 Boys Town Hospital Rd
Boys Town, NE 68010-7513
Phone (531) 355-1449

Hospital & facility affiliations

  • Boys Town National Research Hospital Hospital, Boys Town, NE, CCN 283300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22553NEMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Father Flanagan'S Boys' Home Anesthesiology CurrentSince Dec 1, 2003 Accepting new patients
ENT Services PC Past Accepting new patients
Unmc Physicians Past Accepting new patients

Locations

14000 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6000

14080 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6900

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 1

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361404800000",
    "number": "1962469288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988095 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681988095",
            "telephone_number": "402-559-9800",
            "fax_number": "402-559-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "988095 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681988095",
            "telephone_number": "402-559-9800",
            "fax_number": "402-559-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY-INDA",
        "first_name": "EILEEN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2013-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NE",
            "license": "22553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47078557501",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.