DR. DEEPTHI SAMINDLA (MBBS) – Family Medicine Physician, NPI 1093906216

DR. DEEPTHI SAMINDLA (MBBS) is a healthcare provider. based in Omaha, Nebraska. specializing in FAMILY PRACTICE. They hold the professional credentials MBBS. They hold a License No. 26060 (NE). The NPI Number for DR. DEEPTHI SAMINDLA (MBBS) is 1093906216

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. DEEPTHI SAMINDLA (MBBS)
NPI
1093906216
Phone
(402) 401-6000
Address
4229 NORTH 90TH STREET
Enumeration Date
5 August 2007
Last Update Date
20 July 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4027344110
Graduation Year
2005 (21 years ago)
PAC ID
0244418606
Group Practice PAC ID
3173435153
Professional Enrollment ID
I20110707000344
Address ID
NE681071656OM4920XSTXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

953 FAMILY PRACTICE in NE

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Provider Addresses for DR. DEEPTHI SAMINDLA (MBBS)

  • 4229, North 90th Street, Omaha, Douglas County, Nebraska, 68134, United States

    OMAHA, NE 68134

    Phone: (402) 401-6000

    Fax: (402) 401-6015

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-07-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110707000344IFamily PracticeNETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68134)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173435153View full group profile
NameSpecialtyState
-NE
Mental Health CounselorNE
Nurse PractitionerNE
Family PracticeNE
Nurse PractitionerOR
Certified Nurse Midwife (Cnm)NE
Family PracticeNE
Physician AssistantNE
Family PracticeNE
Physician AssistantNE

Reviews

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Frequently asked questions

Is there an official ID for DR. DEEPTHI SAMINDLA (MBBS) in U.S. healthcare records?
The official identifier for DR. DEEPTHI SAMINDLA (MBBS) is NPI 1093906216.
Active or inactive — what applies to DR. DEEPTHI SAMINDLA (MBBS)?
You should see DR. DEEPTHI SAMINDLA (MBBS) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. DEEPTHI SAMINDLA (MBBS)?
DR. DEEPTHI SAMINDLA (MBBS)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Nebraska is DR. DEEPTHI SAMINDLA (MBBS) registered?
Use Omaha, Nebraska as the headline location for DR. DEEPTHI SAMINDLA (MBBS) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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