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

Derrick Antoniak, MD

Individual provider Gastroenterology Physician · NPI 1972864114

Derrick Antoniak, MD is a Gastroenterology in Omaha, Nebraska. Qualified in 2012, 14 years ago. Practices with Unmc Physicians, a 1,484-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
14
Licensed in
NE
In the registry since
2012
Specialties on file
3
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

Emile @ 42nd St
Omaha, NE 68198-3003
Phone: (402) 552-6731
Fax: (402) 552-6730
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 139 S 40th St, Omaha, NE 68131-3003 — (402) 595-3939

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 27807 (NE)
Internal Medicine Physician Taxonomy 207R00000X · Licence 6692 (NE)
Internal Medicine Physician Taxonomy 207R00000X · Licence 27807 (NE)

Record details

NPI number1972864114
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 5, 2012
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026
Mailing address988102 Nebraska Medical Ctr, Omaha, NE 68198-8102

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Unmc Physicians — 1484 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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