Individual provider Active NPI

Navdeep Sood, M.D.

  • Psychiatry Physician
  • Grand Island, NE
National Provider Identifier
1043231830
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
21912 Issued in NE
Practice address
2201 N Broadwell Ave
Grand Island, NE 68803-2153
Phone
(308) 389-5134
Fax
(308) 389-5126
NPI assigned
Jul 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 21912 NE Primary

Addresses

Primary practice location

2201 N Broadwell Ave
Grand Island, NE 68803-2153

Mailing address

4110 Hartford St
Grand Island, NE 68803-2263
Phone (308) 389-5134

Other identifiers 1

IdentifierTypeStateIssuer
470378779-28MedicaidNE

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061026000573 NE Practitioner - Psychiatry 7315903556 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

403 Lexington Cir
Grand Island, NE 68803-9728
Phone (308) 395-7442

835 S Burlington Ave
108 Lanning Center for Behavioral Servi
Hastings, NE 68901-6928
Phone (402) 463-7711

914 Baumann Dr
Grand Island, NE 68803-4401
Phone (308) 385-5250

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Health Psychiatry CurrentSince Jul 1, 2022 Accepting new patients
Thayer County Memorial Hospital CurrentSince Mar 1, 2022 Accepting new patients
Crane River TMS Clinic LLC Psychiatry CurrentSince Jun 15, 2024 Accepting new patients
Thayer County Memorial Hospital CurrentSince Mar 1, 2022 Accepting new patients
The Mary Lanning Memorial Hospital Association CurrentSince Jan 1, 2003 Accepting new patients
Mid-Plains Center for Behavioral Healthcare Services, Inc. CurrentSince Oct 4, 2006 Accepting new patients
Alegent Creighton Health CurrentSince Jul 1, 2022 Accepting new patients
Phelps Memorial Health Center Current Accepting new patients
The Mary Lanning Memorial Hospital Association CurrentSince Jan 1, 2003 Accepting new patients
Phelps Memorial Health Center CurrentSince Sep 21, 2021 Accepting new patients
Phelps Memorial Health Center CurrentSince Sep 21, 2021 Accepting new patients
The Mary Lanning Memorial Hospital Association Past Accepting new patients

Locations

2771 Solution Ctr
Chicago, IL 60677

2620 W Faidley Ave
Grand Island, NE 68803
Phone (308) 382-6856

403 Lexington Cir
Grand Island, NE 68803
Phone (308) 675-2858

705 Orleans Dr
Grand Island, NE 68803
Phone (308) 369-5359

914 Baumann Dr
Grand Island, NE 68803
Phone (308) 385-5250

715 N Saint Joseph Ave
Hastings, NE 68901
Phone (402) 461-5036

835 S Burlington Ave
Ste 108
Hastings, NE 68901
Phone (402) 463-7711

120 Park Ave
Hebron, NE 68370
Phone (402) 768-6041

1215 Tibbals St
Holdrege, NE 68949
Phone (308) 995-2211

7101 Newport Ave
Omaha, NE 68152
Phone (402) 572-2905

Networks

  • IA HMO C-SNP
  • CO HMO
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • CO HMO D-SNP
  • IA HMO
  • CO HMO C-SNP

Interoperability endpoints

  • Direct secure messaging: nsood163129@direct.nebraskamed.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mary Lanning HealthcareHastings, NE, CCN 28S032 Hospital W-2 Managing Employee
Operational/Managerial Control
Jun 26, 2015
Jun 25, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043231830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 HARTFORD ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688032263",
            "telephone_number": "308-389-5134",
            "fax_number": "308-389-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 N BROADWELL AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688032153",
            "telephone_number": "308-389-5134",
            "fax_number": "308-389-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOOD",
        "first_name": "NAVDEEP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "21912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470378779-28",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

Verify at the official NPI Registry.