Active NPI
Eileen T Connolly-Inda, MD
- Anesthesiology Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 22553
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47078557501 | Medicaid | NE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22553 | NE | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Father Flanagan'S Boys' Home | Anesthesiology | Current | 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.
-
- Children's Hospital
- Omaha, NE
- NPI 1457458556
-
- Otolaryngology Physician
- Omaha, NE
- NPI 1194822130
-
- Multi-Specialty Clinic/Center
- Omaha, NE
- NPI 1417912114
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.