Wayne V Videtich, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

NE134 Issued in NE

Practice address

2710 South St
Lincoln, NE 68502-3252

Phone

(402) 477-3200

Fax

(402) 477-3561

NPI assigned

Jul 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NE

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 1

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1013934074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 SOUTH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023252",
            "telephone_number": "402-477-3200",
            "fax_number": "402-477-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 SOUTH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023252",
            "telephone_number": "402-477-3200",
            "fax_number": "402-477-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDETICH",
        "first_name": "WAYNE",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NE",
            "license": "NE134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "2545",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47061112100",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6800630",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MUTUAL OF OMAHA",
            "identifier": "NE134",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Michael Vetter, PT,DPT
• Alexander Paul Vice
• Kathy Vice
• Milary Aisslyn Vicente
• Hannah Vick
• Sarah R Vidirine, INTERN
• Rebecca Vidlak, LMHP
• Charles Deloss Viers, MD
• Michelle M Vietz, PA-C
• Cecelia Vieyra

• Podiatrist in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Podiatrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.

Verify at the official NPI Registry.