Active NPI
Zachary Roth, DNAP
- Certified Registered Nurse Anesthetist
- Omaha, NE
National Provider Identifier
1992398705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 101647
- Practice address
- 2808 S 143Rd PLZ
Omaha, NE 68144-5611 - Phone
- (402) 609-3000
- NPI assigned
- Feb 12, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 82464 | NE | |
| Certified Registered Nurse Anesthetist | 367500000X | 101647 | NE | Primary |
Addresses
Primary practice location
2808 S 143Rd PLZ
Omaha, NE 68144-5611
Mailing address
1310 Santa Fe Cir
Papillion, NE 68046-3846
Phone (402) 926-9706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210602000726 | NE | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3072912641 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7555 Pioneers Blvd
Lincoln, NE 68506-4673
Phone (402) 484-6677
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82464 | NE | MD | Registered Nurse |
| 101647 | NE | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Medical Imaging, LLC | Current | Accepting new patients | |
| Hinners Geriatric Medicine, LLC | Past | Accepting new patients |
Locations
7601 Pioneers Blvd
Lincoln, NE 68506
Phone (402) 484-4475
7555 Pioneers Blvd
Lincoln, NE 68506
Phone (402) 261-1085
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Omaha, NE
- NPI 1841798477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1992398705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 SANTA FE CIR",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680463846",
"telephone_number": "402-926-9706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2808 S 143RD PLZ",
"city": "OMAHA",
"state": "NE",
"postal_code": "681445611",
"telephone_number": "402-609-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTH",
"first_name": "ZACHARY",
"credential": "DNAP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-12",
"last_updated": "2022-09-28",
"certification_date": "2022-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NE",
"license": "82464",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NE",
"license": "101647",
"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 Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.