Individual provider Active NPI

Alexander D'Angelo, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Omaha, NE
National Provider Identifier
1972998516
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
35993 Issued in NE
Practice address
110 N 175TH St Ste 1400
Omaha, NE 68118-3581
Phone
(531) 559-7667
NPI assigned
Mar 31, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD477447 PA
Student in an Organized Health Care Education/Training Program 390200000X
Physical Medicine & Rehabilitation Physician 208100000X 35993 NE Primary

Addresses

Primary practice location

110 N 175TH St Ste 1400
Omaha, NE 68118-3581

Mailing address

981225 Nebraska Medical Center
Department of Physical Medicine and Rehabilitation
Omaha, NE 68198-1225
Phone (402) 559-7775

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
I20240216000680 NE Practitioner - Physical Medicine and Rehabilitation 8426363466 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Saint Louis University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unmc PhysiciansGroup PAC ID 6002728391, 1,490 clinicians
Madonna Rehabilitation HospitalGroup PAC ID 0446164081, 92 clinicians

Practice addresses (Care Compare)

110 N 175TH St
2000 Unmc Physicians Village Pointe Medical
Omaha, NE 68118-3550
Phone (402) 596-4411

5401 S St
Lincoln, NE 68506-2150
Phone (402) 489-7102

Hospital & facility affiliations

  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013
  • Madonna Rehabilitation Specialty Hospital Omaha Inpatient rehabilitation facility, Omaha, NE, CCN 28TA03
  • Madonna Rehabilitation Hospital Lincoln Inpatient rehabilitation facility, Lincoln, NE, CCN 283025
  • Madonna Rehabilitation Specialty Hospital Omaha Long-term care hospital, Omaha, NE, CCN 282003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0224SDMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Madonna Rehabilitation Hospital Physical Medicine & Rehabilitation CurrentSince Jan 3, 2024 Accepting new patients
Unmc Physicians CurrentSince Jan 10, 2024 Accepting new patients
Madonna Rehabilitation Hospital Past Accepting new patients

Locations

5401 South St
Lincoln, NE 68506
Phone (402) 413-3000

202 N 175th Plz
Omaha, NE 68118

110 N 175th St
Ste 2000
Omaha, NE 68118
Phone (402) 596-4411

110 N 175th St
Ste 1400
Omaha, NE 68118
Phone (531) 559-7667

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

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

Interoperability endpoints

  • Direct secure messaging: adangelo460074@direct.nebraskamed.com
  • FHIR API: https://fhir.madonna.org/R4/open-Prod

Organizations & group practices 3

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": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1972998516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981225 NEBRASKA MEDICAL CENTER",
            "address_2": "DEPARTMENT OF PHYSICAL MEDICINE AND REHABILITATION",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681981225",
            "telephone_number": "402-559-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N 175TH ST STE 1400",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681183581",
            "telephone_number": "531-559-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ANGELO",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-31",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD477447",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NE",
            "license": "35993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.