Active NPI
Andrew Steve Huang-Pacheco, M.D.
- Pediatric Gastroenterology Physician
- Omaha, NE
National Provider Identifier
1982988432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 27433
- Practice address
- 3306 N 164TH St
Omaha, NE 68116 - Phone
- (612) 800-1627
- NPI assigned
- Oct 3, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | 27433 | NE | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 14903 | FL |
Addresses
Primary practice location
3306 N 164TH St
Omaha, NE 68116
Mailing address
3306 N 164TH St
Omaha, NE 68116-2002
Phone (612) 800-1627
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27433 | NE | MD | Pediatric Gastroenterology Physician |
| 14903 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unmc Physicians | Current | Accepting new patients | |
| Children'S Hospital & Medical Center | Past | Accepting new patients |
Locations
988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600
Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731
Interoperability endpoints
- ahuang8357@direct.chsomaha.org
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Omaha, NE
- NPI 1417912114
-
- Children's Hospital
- Omaha, NE
- NPI 1346297843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491350400000",
"number": "1982988432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3306 N 164TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681162002",
"telephone_number": "612-800-1627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3306 N 164TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "68116",
"telephone_number": "612-800-1627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUANG-PACHECO",
"first_name": "ANDREW",
"middle_name": "STEVE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-03",
"last_updated": "2017-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "NE",
"license": "27433",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "14903",
"primary": false
}
],
"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 Apr 5, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.