Individual provider Active NPI

Heather A Obregon, MD

  • Family Medicine Physician
  • Omaha, NE
National Provider Identifier
1962594390
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24717 Issued in NE
Practice address
5908 S 142ND St
Omaha, NE 68137-2800
Phone
(402) 354-1900
Fax
(402) 354-1910
NPI assigned
Sep 30, 2006
Last updated
Dec 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7250 ND
Family Medicine Physician 207Q00000X 24717 NE Primary

Addresses

Primary practice location

5908 S 142ND St
Omaha, NE 68137-2800

Mailing address

PO Box 3755
Omaha, NE 68103-0755
Phone (402) 365-2100

Other identifiers 2

IdentifierTypeStateIssuer
47068731706MedicaidNE
1962594390MedicaidIA

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
I20080925000677 NE Practitioner - Family Practice 7810064243 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Dakota School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care Physicians LLPGroup PAC ID 3779548839, 6 clinicians

Practice addresses (Care Compare)

12728 Augusta Ave
Omaha, NE 68144-3754
Phone (402) 330-1410

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7250NDMDFamily Medicine Physician
24717NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Physicians, LLP CurrentSince Sep 25, 2020 Accepting new patients
Physicians Clinic Inc Family Medicine CurrentSince May 31, 2009 Accepting new patients

Locations

1240 E 23rd St
Fremont, NE 68025
Phone (402) 721-8668

10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405

12728 Augusta Ave
Omaha, NE 68144
Phone (402) 330-1410

5908 S 142nd St
Omaha, NE 68137
Phone (402) 354-1900

101 E Centennial Rd
Papillion, NE 68046
Phone (402) 354-7750

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 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": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1962594390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3755",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681030755",
            "telephone_number": "402-365-2100",
            "fax_number": "402-354-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5908 S 142ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372800",
            "telephone_number": "402-354-1900",
            "fax_number": "402-354-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBREGON",
        "first_name": "HEATHER",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-30",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "7250",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "24717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47068731706",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962594390",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.