MEDICARE: DR. PATRICIA J CHUDOMELKA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0000X	Pain Medicine Physician	20620	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902846025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIA J CHUDOMELKA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 30029
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68103-1129
Country	:	US
Telephone Number	:	402-978-5156
Fax Number	:	402-341-3616

Provider Business Practice Location Address
First Line	:	11819 MIRACLE HILLS DR
Second Line	:	SUITE 105
City	:	OMAHA
State	:	NE
Zip	:	68154-4428
Country	:	US
Telephone Number	:	402-978-5156
Fax Number	:	402-341-3616

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	09/29/2014

Similar Medicare Providers

1518959295 — DR. BONNIE JEAN LEES MD
Practice Location Address:

8200 DODGE STREET , CHILDREN'S HOSPITAL & MEDICARE CENTER
OMAHA, NE
68114-4113

Practice Phone: 402-955-6140
Practice Fax: 402-955-3398

1831726215 — PERCEPTIONS LLC
Practice Location Address:

11819 MIRACLE HILLS DR STE 203
OMAHA, NE
68154-4428

Practice Phone: 402-414-4131
Practice Fax:

1841280252 — DR. CHESTER HILL WATERS III M.D.
Practice Location Address:

11819 MIRACLE HILLS DR , SUITE 203
OMAHA, NE
68154-4428

Practice Phone: 402-492-9922
Practice Fax: 402-492-9944

1013946318 — ROBERT M COCHRAN M.D.
Practice Location Address:

11819 MIRACLE HILLS DR STE 203 , SUITE 203
OMAHA, NE
68154-4428

Practice Phone: 402-492-9922
Practice Fax: 402-492-9944

1144331141 — INSTITUTE OF DIAGNOSTIC IMAGING, LLC
Practice Location Address:

11819 MIRACLE HILLS DR , SUITE 101
OMAHA, NE
68154-4428

Practice Phone: 402-898-3630
Practice Fax: 402-898-3635

1700956463 — ROBERT M COCHRAN MD PC
Practice Location Address:

11819 MIRACLE HILLS DR STE 203
OMAHA, NE
68154-4428

Practice Phone: 402-492-9922
Practice Fax:

Directions to “ DR. PATRICIA J CHUDOMELKA M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.