Farid Abdulrehman Thanawalla (NPI# 1770558496, PAC ID# 5698688612) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1770558496 |
| PAC ID by PECOS | 5698688612 |
| Professional Enrollment ID | I20090225000558 |
| Full Name | Farid Abdulrehman Thanawalla |
| Organization Legal Name | DIAGNOSTIC RADIOLOGY PC |
| Address |
7915 Farnam Dr Omaha NE 68114-4504 |
| Phone Number | 4023991900 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1993 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialties | INTERVENTIONAL RADIOLOGY |
| Group Practice PAC ID | 2264491570 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160047 | METHODIST JENNIE EDMUNDSON |
| 161376 | CASS COUNTY MEMORIAL HOSPITAL |
| 160153 | MERCY MEDICAL CENTER-SIOUX CITY |
| 280061 | REGIONAL WEST MEDICAL CENTER |
| 161366 | SHENANDOAH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 933 E Pierce St, Council Bluffs, IA 51503-4626 | 7123966000 | DIAGNOSTIC RADIOLOGY PC |
| 345 W Steamboat Dr, Suite 401, Dakota Dunes, SD 57049-5287 | 6052172195 | DIAGNOSTIC RADIOLOGY PC |
| 3001 Ave A, Dodge City, KS 67801-2270 | 6202258400 | RADIOLOGY IMAGING OF NEBRASKA, LLC |
| 10700 E Geddes Ave, Suite 200, Englewood, CO 80112-3861 | 3037619190 | RADIOLOGY IMAGING OF NEBRASKA, LLC |
| 501 E Hampden, Swedish Medical Center, Englewood, CO 80113-2702 | 3037886080 | RADIOLOGY IMAGING OF NEBRASKA, LLC |
| 26136 Us Hwy 59, Fairfax, MO 64446 | 6606862211 | DIAGNOSTIC RADIOLOGY PC |
| 235 W Fletcher St, Haxtun, CO 80731-2737 | 9707746123 | DIAGNOSTIC RADIOLOGY PC |
| 7915 Farnam Dr, Omaha, NE 68114-4504 | 4023991900 | DIAGNOSTIC RADIOLOGY PC |
| 201 Albert Ave, Scott City, KS 67871-6117 | 6208727761 | RADIOLOGY IMAGING OF NEBRASKA, LLC |
| 3911 Ave B, Scottsbluff, NE 69361-4617 | 3086353033 | RADIOLOGY IMAGING OF NEBRASKA, LLC |
| 4021 Ave B, Scottsbluff, NE 69361-4602 | 3086353711 | RADIOLOGY IMAGING OF NEBRASKA, LLC |
| 3901 7th S St, Terre Haute, IN 47802-5709 | 8004372672 | RADIOLOGY PHYSICIAN SOLUTIONS OF INDIANA PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_076_overall | Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections | 100% | |
| MIPS_EC_076_overall | Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% |
| Organization Legal Name | DIAGNOSTIC RADIOLOGY PC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory Robert Beyer | Diagnostic Radiology | Diagnostic Radiology PC | 235 W Fletcher St, Haxtun, CO 80731-2737 |
| Sajan T Mahajan | Diagnostic Radiology | Diagnostic Radiology PC | 26136 Us Hwy 59, Fairfax, MO 64446 |
| Rajkumar Yarlagadda | Diagnostic Radiology | Diagnostic Radiology PC | 16929 Frances St, Suite 204, Omaha, NE 68130-4684 |
| James F Smith | Diagnostic Radiology | Diagnostic Radiology PC | 16929 Frances St, Suite 204, Omaha, NE 68130-4684 |
| Jason A Arthur | Diagnostic Radiology | Diagnostic Radiology PC | 933 E Pierce St, Council Bluffs, IA 51503-4626 |
| Robert J Forbes | Diagnostic Radiology | Diagnostic Radiology PC | 16929 Frances St, Suite 204, Omaha, NE 68130-4684 |
| Annabel Galva | Diagnostic Radiology | Diagnostic Radiology PC | 933 E Pierce St, Council Bluffs, IA 51503-4626 |
| Christopher Hasiak | Diagnostic Radiology | Diagnostic Radiology PC | 235 W Fletcher St, Haxtun, CO 80731-2737 |
| Street Address |
7915 FARNAM DR |
| City | OMAHA |
| State | NE |
| Zip | 68114-4504 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anand R Deshmukh | Cardiovascular Disease (cardiology) | Physicians Clinic Inc | 1120 N 103rd Plaza, Omaha, NE 68114-1119 |
| Amy L Swerczek | Nurse Practitioner | Physicians Clinic Inc | 1120 N 103rd Plaza, 100 Methodist Physicians Clinic Heart Consults, Omaha, NE 68114-1119 |
| Sarah M. Schmuecker | Nurse Practitioner | Physicians Clinic Inc | 1120 N 103rd Plaza, 100 Methodist Physicians Clinic Heart Consults, Omaha, NE 68114-1119 |
| Frank Mezzacappa | Pulmonary Disease | Physicians Clinic Inc | 1120 N 103rd Plaza, 100 Methodist Physicians Clinic Heart Consults, Omaha, NE 68114-1119 |
| Edmund O Fiksinski | Interventional Cardiology | Physicians Clinic Inc | 1120 N 103rd Plaza, Omaha, NE 68114-1119 |
| Erin Renee Brummett | Nurse Practitioner | Physicians Clinic Inc | 1120 N 103rd Plaza, Omaha, NE 68114-1119 |
| Patrick G. Meyers | Pulmonary Disease | Physicians Clinic Inc | 1120 N 103rd Plaza, 100 Methodist Physicians Clinic Heart Consults, Omaha, NE 68114-1119 |
| Jeffrey Michael Mahoney | Cardiac Electrophysiology | Physicians Clinic Inc | 1120 N 103rd Plaza, Omaha, NE 68114-1119 |
| Robert E Wear Iii | Pulmonary Disease | Physicians Clinic Inc | 1120 N 103rd Plaza, 100 Methodist Physicians Clinic Heart Consults, Omaha, NE 68114-1119 |
| Adam D Wells | Pulmonary Disease | Physicians Clinic Inc | 1120 N 103rd Plaza, 102 Methodist Physicians Clinic Pulmonary Medicine Spe, Omaha, NE 68114-1119 |
| Find all physicians in zip 68114 | |||
| City | OMAHA |
| Zip Code | 68114 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | OMAHA + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Farid Abdulrehman Thanawalla.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.