NPIMap

Individual provider Active NPI

Anton J Smolik, M.D.

  • Family Medicine Physician
  • Alma, NE
National Provider Identifier
1043258387
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22091 Issued in NE
Practice address
715 Brown St
Alma, NE 68920-2132
Phone
(308) 928-2103
Fax
(308) 928-2560
NPI assigned
Jun 2, 2006
Last updated
Jul 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22091 NE Primary

Addresses

Primary practice location

715 Brown St
Alma, NE 68920-2132

Mailing address

PO Box 665
Alma, NE 68920-0665
Phone (308) 928-2103

Other identifiers 8

IdentifierTypeStateIssuer
10025412200MedicaidNE
10025988200MedicaidNE
10025411700MedicaidNE
10025988300MedicaidNE
100643690DMedicaidKS
100643690BMedicaidKS
100643690CMedicaidKS
P00340970OtherNERAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050316000842 NE Practitioner - HospitalistPractitioner - Family PracticePractitioner - Internal Medicine 2567417165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
University of Nebraska College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHI Health Clinic Specialty LLCGroup PAC ID 4789098443, 317 clinicians

Practice addresses (Care Compare)

10 E 31St St
CHI Health Good Samaritan
Kearney, NE 68847-2908
Phone (308) 865-7100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CHI Health Clinic Specialty, LLC Family Medicine CurrentSince Jan 1, 2021 Accepting new patients
Good Samaritan Hospital Past Accepting new patients
Good Samaritan Hospital Past Accepting new patients
Harlan County Health System Family Medicine Past Accepting new patients
Holdrege Medical Clinic, P.C. Family Medicine Past Accepting new patients

Locations

717 Brown St
Alma, NE 68920
Phone (308) 928-2151

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

10 E 31st St
Kearney, NE 68847
Phone (308) 234-5520

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

Organizations & group practices 6

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 7

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1043258387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 665",
            "city": "ALMA",
            "state": "NE",
            "postal_code": "689200665",
            "telephone_number": "308-928-2103",
            "fax_number": "308-928-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 BROWN ST",
            "city": "ALMA",
            "state": "NE",
            "postal_code": "689202132",
            "telephone_number": "308-928-2103",
            "fax_number": "308-928-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOLIK",
        "first_name": "ANTON",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "22091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025412200",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025988200",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025411700",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025988300",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100643690D",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100643690B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100643690C",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00340970",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alma, NE

Sources for this page

Verify at the official NPI Registry.