Active NPI
Jonathan Duane Rouse, DPM
- Foot & Ankle Surgery Podiatrist
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 016.005724
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 35
- Improvement activities
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 39 |
| Removal of skin lesions | 20 |
| Removal of nail tissue | 719 |
| Removal or shaving of skin growth | 394 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 362 | NE | MD | Pulmonary Disease Physician |
| 016.005724 | IL | MD | Foot & Ankle Surgery Podiatrist |
| 006670 | NY | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot and Ankle Center of Nebraska, P.C. | Foot & Ankle Surgery | Current | 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
- 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.
-
- Durable Medical Equipment & Medical Supplies
- Council Bluffs, IA
- NPI 1740743368
Foot & Ankle Surgery
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.