OrganizationActive
Miracle Hills Primary Care Center PC
NPI 1104292093 · Family Medicine Physician · Omaha, NE
Provider details
- NPI number
- 1104292093
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Maman Ali, President(402) 905-2075
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11819 Miracle Hills Dr Ste 105
Omaha, NE 68154-4428
Phone: (402) 905-2075
Fax: (402) 905-9864
Street-level locationGet directions
Mailing address
11819 Miracle Hills Dr Ste 105
Omaha, NE 68154-4428
Registry dates
- Enumerated
- 2015-08-14
- Last updated
- 2015-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.