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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477074425

Shiva Shankar Vangimalla, MBBS is a Gastroenterology in Omaha, Nebraska. Qualified in 2015, 11 years ago. Practices with Alegent Creighton Clinic, a 947-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
11
Licensed in
NE
In the registry since
2017
Specialties on file
2
What do these letters mean?
MBBS — Bachelor of Medicine, Bachelor of Surgery
The medical degree awarded in the UK, India and many Commonwealth countries; equivalent to an MD.

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Practice location Address checks out

7710 Mercy Rd Ste 2000
Omaha, NE 68124-2323
Phone: (402) 717-9800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 36884 (NE)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1477074425
Entity typeIndividual (Type 1)
GenderMale
Credentials MBBS
Sole proprietorYes
NPI enumeratedJune 29, 2017
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Alegent Creighton Clinic — 947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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