Active NPI
Robert J Zadalis MD PC
- Surgery Physician
- Omaha, NE
National Provider Identifier
1972646339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 20318
- Legal business name
- ROBERT J ZADALIS MD PC
- Practice address
- 6828 N 72 St
#5500
Omaha, NE 68122 - Phone
- (402) 572-3663
- Fax
- (402) 572-3438
- NPI assigned
- Feb 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert J Zadalis, MD
- Title
- President
- Phone
- (402) 572-3663
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 20318 | NE | Primary |
Addresses
Primary practice location
6828 N 72 St
#5500
Omaha, NE 68122
Mailing address
6828 N 72 St
#5500
Omaha, NE 68122
Phone (402) 572-3663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
17001 Lakeside Hills Plz
Ste 102
Omaha, NE 68130
Phone (402) 934-6996
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- Surgery Physician
- Omaha, NE
- NPI 1982620639
-
- Physician Assistant
- Omaha, NE
- NPI 1003923475
-
- Emergency Medicine Physician
- Omaha, NE
- NPI 1336365311
-
- Surgery Physician
- Omaha, NE
- NPI 1265486302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1972646339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6828 N 72 ST",
"address_2": "#5500",
"city": "OMAHA",
"state": "NE",
"postal_code": "68122",
"telephone_number": "402-572-3663",
"fax_number": "402-572-3438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6828 N 72 ST",
"address_2": "#5500",
"city": "OMAHA",
"state": "NE",
"postal_code": "68122",
"telephone_number": "402-572-3663",
"fax_number": "402-572-3438"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT J ZADALIS MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ZADALIS",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "402-572-3663",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "NE",
"license": "20318",
"primary": true
}
],
"identifiers": [],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.