DR. MICHAEL J DULAC (MD) – Pediatrics Physician, NPI 1174699102

DR. MICHAEL J DULAC (MD) is a healthcare provider. based in Omaha, Nebraska. specializing in Pediatrics Physician. They hold the professional credentials MD. They hold a License No. 22194 (NE). The NPI Number for DR. MICHAEL J DULAC (MD) is 1174699102

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL J DULAC (MD)
NPI
1174699102
Phone
(402) 955-5400
Address
8200 DODGE STREET
Enumeration Date
28 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4029913393
Graduation Year
1999 (27 years ago)
PAC ID
5799968236
Group Practice PAC ID
4284817727
Professional Enrollment ID
I20110322000391
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MICHAEL J DULAC (MD)

  • Children's Hospital & Medical Center, 8200, Dodge Street, Omaha, Douglas County, Nebraska, 68114, United States

    CHILDREN'S HOSPITAL

    OMAHA, NE 681144113

    Phone: (402) 955-5400

    Type: Mailing

  • The Dentists at Hillsborough, 13808, West Maple Road, Omaha, Douglas County, Nebraska, 68164, United States

    CHILDREN'S HOSPITAL - URGENT CARE

    OMAHA, NE 68164

    Phone: (402) 955-3600

    Fax: (402) 955-7055

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-01-08 • Largest payer in this snapshot: Novo Nordisk Inc ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$16
View all Open Payments →|Open Payments Risk Radar →

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: 2011-03-22

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
I20110322000391IPediatric MedicineNETBD

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 68114)

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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: 4284817727View full group profile
NameSpecialtyState
-NE
-NE
Nurse PractitionerNE
O T O L A R Y N G O L O G YNE
Nurse PractitionerNE
Nurse PractitionerNE

Reviews

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Frequently asked questions

What federal number belongs to DR. MICHAEL J DULAC (MD)?
The federal identifier for DR. MICHAEL J DULAC (MD) is NPI 1174699102.
Does this profile mean DR. MICHAEL J DULAC (MD) is currently active?
Yes — DR. MICHAEL J DULAC (MD) appears active in the national provider directory.
What does DR. MICHAEL J DULAC (MD) treat or focus on?
Patients typically see DR. MICHAEL J DULAC (MD) under the specialty Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. MICHAEL J DULAC (MD)?
The snapshot lists Omaha, Nebraska for DR. MICHAEL J DULAC (MD); download NPPES for the complete set.
How can I contact DR. MICHAEL J DULAC (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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