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NPISignal

Individual Healthcare Provider

Ryan Antonawich, DO

NPI Record: ActiveFamily Medicine — Sports Medicine
NPI1194454868
Omaha, Nebraska

Provider's NPPES record last updated: April 23, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1194454868
Primary Specialty
Family Medicine — Sports Medicine
Practice Location
Omaha, Nebraska
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 9:20 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Family Medicine

    Sports Medicine

    Allopathic & Osteopathic Physicians

    Primary

    A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

    Taxonomy code 207QS0010X
  • Emergency Medicine

    Allopathic & Osteopathic Physicians

    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

    Taxonomy code 207P00000X
  • Student in an Organized Health Care Education/Training Program

    Student, Health Care

    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

    Taxonomy code 390200000X

Provider-Reported License Information

Family Medicine (Nebraska)
10177
Emergency Medicine (Michigan)
5101027619
Student in an Organized Health Care Education/Training Program (Michigan)
5151015844
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

983075 Nebraksa Medical Center

Omaha, Nebraska 68198-2151

Phone: (402) 559-0268

Additional Practice Location

1458 W Center Rd Ste 1

Essexville, Michigan 48732-2151

Phone: (989) 895-4625

Fax: (989) 895-4626

Record Information

Enumeration Date
June 8, 2022
Provider's NPPES Record Last Updated
April 23, 2025
Certification Date
April 23, 2025
NPISignal NPPES Dataset
August 2026

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