Individual provider Active NPI

Jonathan Duane Rouse, DPM

  • Foot & Ankle Surgery Podiatrist
  • Omaha, NE
National Provider Identifier
1003250556
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016.005724 Issued in IL
Practice address
9006 Ohio St Ste 1
Omaha, NE 68134-6139
Phone
(402) 391-7575
Fax
(402) 391-1508
NPI assigned
Apr 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 016.005724 IL Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 006670 NY

Addresses

Primary practice location

9006 Ohio St Ste 1
Omaha, NE 68134-6139

Mailing address

9006 Ohio St Ste 1
Omaha, NE 68134-6139
Phone (402) 391-7575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200408001779 NE Practitioner - Podiatry 1658668124 Reassigns benefits to 1 organization
I20200420002537 IA Practitioner - Podiatry 1658668124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Center of Nebraska PCGroup PAC ID 2567409063, 10 clinicians

Practice addresses (Care Compare)

411 E Broadway
Council Bluffs, IA 51503-4417
Phone (402) 391-7575

9006 Ohio St
Suite 1
Omaha, NE 68134-6139
Phone (402) 391-7575

Merit-based Incentive Payment System (MIPS)

Final score
19.61 of 100Reported as individual
Quality
35
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue39
Removal of skin lesions20
Removal of nail tissue719
Removal or shaving of skin growth394

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
362NEMDPulmonary Disease Physician
016.005724ILMDFoot & Ankle Surgery Podiatrist
006670NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Center of Nebraska, P.C. Foot & Ankle Surgery CurrentSince May 1, 2020 Accepting new patients

Locations

411 E Broadway
Council Bluffs, IA 51503
Phone (402) 391-7575

9006 Ohio St
Ste 1
Omaha, NE 68134
Phone (402) 391-7575

1226 N Washington St
Papillion, NE 68046
Phone (402) 391-7575

Networks

  • CO HMO
  • CO HMO D-SNP
  • IA HMO
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • IA HMO C-SNP
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc

Interoperability endpoints

  • Direct secure messaging: jrouse@usfas.emadirect.md

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1003250556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9006 OHIO ST STE 1",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681346139",
            "telephone_number": "402-391-7575",
            "fax_number": "402-391-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9006 OHIO ST STE 1",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681346139",
            "telephone_number": "402-391-7575",
            "fax_number": "402-391-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSE",
        "first_name": "JONATHAN",
        "middle_name": "DUANE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-25",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016.005724",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006670",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.