Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew John Blazek, MD

Individual provider Urology Physician · NPI 1881259489

Andrew John Blazek, MD is an Urology in Omaha, Nebraska. Graduated from University of Nebraska College of Medicine in 2019, 7 years ago. Practices with Shenandoah Medical Center, a 54-clinician group and accepts Medicare assignment. Licensed in Iowa and Nebraska.

Years since qualifying
7
Trained at
University of Nebraska College of Medicine
Licensed in
IA, NE
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

111 S 90th St
Omaha, NE 68114-3907
Phone: (402) 397-9800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 36256 (NE)
Urology Physician Taxonomy 208800000X · Licence MD-52875 (IA)

Record details

NPI number1881259489
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 8, 2019
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024
Mailing address111 S 90th St, Omaha, NE 68114-3907

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Shenandoah Medical Center — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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