Individual provider Active NPI

Andrew Steve Huang-Pacheco, M.D.

  • Pediatric Gastroenterology Physician
  • Omaha, NE
National Provider Identifier
1982988432
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
27433 Issued in NE
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

Updated by the provider on Apr 5, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160519001299 NE Practitioner - GastroenterologyPractitioner - Pediatric Medicine 7810286507 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27433NEMDPediatric Gastroenterology Physician
14903FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Unmc Physicians CurrentSince Jul 1, 2016 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.