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HENRY JOHN DETHLEFS MD NPI 1255364568


NPI Information

NPI: 1255364568
Provider Name: HENRY JOHN DETHLEFS, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: ONEWORLD COMMUNITY HEALTH CENTERS, INC.

PECOS Registration: Yes

Address:
4920 S 30TH ST
SUITE 103
OMAHA, NE
ZIP 68107
Phone: (402) 734-4110
Get Directions

Henry John Dethlefs, MD is a family medicine in Omaha, NE with 32 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Henry John Dethlefs, MD NPI is 1255364568. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduation Year:1992

The provider's business location address is:

4920 S 30TH ST
SUITE 103
OMAHA, NE
ZIP 68107-590
Phone: (402) 734-4110
Fax: (402) 991-5564

The NPI 1255364568 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
  • Hemoglobin A1C level (HCPCS:83036)

The enumeration date for this NPI number is 7/9/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine19813NEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G16698MEDICARE UPINNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.