Robert J Zadalis, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

20318 Issued in NE

Practice address

6829 N 72ND St Ste 5500
Omaha, NE 68122

Phone

(402) 572-3663

Fax

(402) 572-3438

NPI assigned

Jul 14, 2006

Last updated

Feb 25, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

General Surgery

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Robert J Zadalis MD PC

  • Surgery Physician
  • Omaha, NE
  • NPI 1972646339
  Medicare reassignment NPD Authorized official
• Midwest Surgical Associates PC

  • Surgery Physician
  • Omaha, NE
  • NPI 1376686733
  NPD (past)
• Watz Surgical Group LLC

  • Surgery Physician
  • Omaha, NE
  • NPI 1952444226
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1982620639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6829 N 72ND ST STE 5500",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681221729",
            "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": "6829 N 72ND ST STE 5500",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68122",
            "telephone_number": "402-572-3663",
            "fax_number": "402-572-3438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6829 N 72nd St Ste 5500",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "68122",
            "country_code": "US",
            "telephone_number": "402-572-3663",
            "fax_number": "402-572-3438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZADALIS",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NE",
            "license": "20318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025085100",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terence L Zach, MD
• Laurence Alan Zacharia, MD
• Zachary R Korth DC PC
• Sara Kathryn Zachman, MD, MPH
• Kelly Zacks, PHARMD
• Lyric Zade
• Jamie Rae Zadina, PHARM.D., R.PH.
• Priscilla Zadina
• Maryam Zafar, MD
• Margaret Zagata

• Surgery Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Surgery Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.

Verify at the official NPI Registry.