| Rao Gutta, MD | |
|
515 N 162nd Ave Ste 300, Omaha, NE 68118-2540 | |
| (402) 354-1200 | |
| (402) 354-1205 |
| Full Name | Rao Gutta |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 27 Years |
| Location | 515 N 162nd Ave Ste 300, Omaha, Nebraska |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811936792 | NPI | - | NPPES |
| 25640 | Other | IA | BCBS IA |
| 4707367990009 | Other | NE | UPREHS |
| P00320937 | Other | NE | RAILROAD |
| 0720946 | Medicaid | IA | |
| 250374 | Other | NE | MIDLANDS CHOICE |
| 02736 | Other | NE | BCBS NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | D0062067 (Maryland) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 22774 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi Health Bergan Mercy | Omaha, NE | Hospital |
| The Nebraska Methodist Hospital | Omaha, NE | Hospital |
| Methodist Jennie Edmundson | Council bluffs, IA | Hospital |
| Chi Health Mercy Council Bluffs | Council bluffs, IA | Hospital |
| Chi Health Immanuel | Omaha, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alegent Creighton Clinic | 1951210418 | 890 |
| Physicians Clinic Inc | 4880506062 | 536 |
| Alegent Creighton Clinic | 1951210418 | 890 |
| Physicians Clinic Inc | 4880506062 | 536 |
| Entity Name | Physicians Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821049156 PECOS PAC ID: 4880506062 Enrollment ID: O20031105000345 |
| Entity Name | Alegent Creighton Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548287907 PECOS PAC ID: 1951210418 Enrollment ID: O20040407001314 |
| Entity Name | Chi Health Clinic Specialty Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285138065 PECOS PAC ID: 4789098443 Enrollment ID: O20210121000492 |
| Mailing Address | Practice Location Address |
|---|---|
| Rao Gutta, MD Po Box 3755, Omaha, NE 68103-0755 Ph: (402) 354-2100 | Rao Gutta, MD 515 N 162nd Ave Ste 300, Omaha, NE 68118-2540 Ph: (402) 354-1200 |
Bradley Hall, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 42 Nd And Emile Street Univ Of Nebraska Ctr, Department Of General Surgery, Omaha, NE 68198 Phone: 402-559-4300 Fax: 402-559-6749 | |
Dr. Brett Waibel, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: Emile @ 42nd St, Omaha, NE 68198 Phone: 402-559-4017 | |
Dr. Alan T. Richards, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 8303 Dodge St, Suite # 304, Omaha, NE 68114 Phone: 402-354-5048 Fax: 402-354-2585 | |
Dr. Kevin Michael Mcmahon, MD Surgery Medicare: Medicare Enrolled Practice Location: 7710 Mercy Rd Ste 202, Omaha, NE 68124 Phone: 402-280-4669 | |
Dr. Abbey Fingeret, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: Emile 42nd St, Omaha, NE 68198 Phone: 402-559-5600 Fax: 402-559-7900 | |
Dr. John Moonkeun Park, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 17404 Burke St Ste 102, Omaha, NE 68118 Phone: 531-466-4260 | |
Dr. John Francis Tierney Iv, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 988102 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-6111 |