ALLERGY, ASTHMA & IMMUNOLOGY ASSOCIATES P.C. – Allergy & Immunology Physician, NPI 1063471860

ALLERGY, ASTHMA & IMMUNOLOGY ASSOCIATES P.C. is a healthcare provider. based in Omaha, Nebraska. specializing in Allergy & Immunology Physician. The NPI Number for ALLERGY, ASTHMA & IMMUNOLOGY ASSOCIATES P.C. is 1063471860

Main info

Organization
Name
ALLERGY, ASTHMA & IMMUNOLOGY ASSOCIATES P.C.
NPI
1063471860
Phone
(402) 391-1800
Address
2808 S 80 AVE
Authorized Official
MS. JENNIFER KUEHN REVENUE CYCLE MANAGER
Enumeration Date
21 March 2006
Deactivation Date
9 September 2022
Reactivation Date
9 October 2022
Last Update Date
13 October 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for ALLERGY, ASTHMA & IMMUNOLOGY ASSOCIATES P.C.

  • S, Orville Plaza, Omaha, Douglas County, Nebraska, 68110, United States

    STE 210

    OMAHA, NE 681243253

    Phone: (402) 391-1800

    Fax: (402) 391-1563

    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: 2004-09-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-03-31 (801 days ago).

Enrollment records

1

Earliest due date

2024-03-31

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
O20040903000659OClinic/Group PracticeIA2024-03-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 68124)

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Reviews

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Frequently asked questions

What is ALLERGY, ASTHMA & IMMUNOLOGY ASSOCIATES P.C.'s NPI number?
ALLERGY, ASTHMA & IMMUNOLOGY ASSOCIATES P.C.'s NPI is 1063471860 — the number used across U.S. healthcare to identify this provider.
Is ALLERGY, ASTHMA & IMMUNOLOGY ASSOCIATES P.C. still an active registrant?
ALLERGY, ASTHMA & IMMUNOLOGY ASSOCIATES P.C. carries an active NPI according to the public dataset.
What expertise is attributed to ALLERGY, ASTHMA & IMMUNOLOGY ASSOCIATES P.C.?
ALLERGY, ASTHMA & IMMUNOLOGY ASSOCIATES P.C.'s specialty line reads Allergy & Immunology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ALLERGY, ASTHMA & IMMUNOLOGY ASSOCIATES P.C.?
Travel planning: use Omaha, Nebraska as the reference point for ALLERGY, ASTHMA & IMMUNOLOGY ASSOCIATES P.C., then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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