OrganizationActive
Kevin P Reagan Mdpc
NPI 1679768899 · Internal Medicine Physician · Omaha, NE
Provider details
- NPI number
- 1679768899
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mary Derouchey, Practice Manager(402) 330-0444
- License
- 16148 (NE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
11704 W Center Rd Ste 210
Omaha, NE 68144-4327
Phone: (402) 334-3377
Fax: (402) 691-9922
Street-level locationGet directions
Mailing address
11704 W Center Rd Ste 210
Omaha, NE 68144-4327
Registry dates
- Enumerated
- 2007-09-11
- Last updated
- 2008-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.