Individual provider Active NPI

Geoffrey L Fey, M.D.

  • Diagnostic Radiology Physician
  • Omaha, NE
National Provider Identifier
1053415364
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2006-00792 Issued in NC
Practice address
17310 Wright St Ste 103
Omaha, NE 68130-2405
Phone
(833) 228-6889
Fax
(877) 853-0376
NPI assigned
Sep 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology Physician 2085N0904X 0101237007 VA
Diagnostic Radiology Physician 2085R0202X 16842 ND
Diagnostic Radiology Physician 2085R0202X 2006-00792 NC Primary

Addresses

Primary practice location

17310 Wright St Ste 103
Omaha, NE 68130-2405

Mailing address

17310 Wright St Ste 103
Omaha, NE 68130-2405
Phone (833) 228-6889

Other practice location 1

1 Burdick Expy W
Minot, ND 58701-4406
Phone (701) 857-5000

Other identifiers 1

IdentifierTypeStateIssuer
010112982 541581185MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TX, MA, WI, TN, IL6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20070801000209 NC Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 5799742383 Reassigns benefits to 12 organizations
I20200225000281 TX Practitioner - Diagnostic Radiology 5799742383 Reassigns benefits to 1 organization
I20201020003466 MA Practitioner - Diagnostic Radiology 5799742383 Reassigns benefits to 3 organizations
I20201110001004 WI Practitioner - Diagnostic Radiology 5799742383 Reassigns benefits to 1 organization
I20210126000641 TN Practitioner - Diagnostic Radiology 5799742383 Reassigns benefits to 1 organization
I20230421001181 IL Practitioner - Diagnostic Radiology 5799742383

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians
Specialists in Medical Imaging SCGroup PAC ID 2163733544, 228 clinicians
Reliant Medical Group IncGroup PAC ID 5597755322, 638 clinicians
Radiology Associates of the Fox Valley SCGroup PAC ID 0446152748, 73 clinicians
Radiology Associates of South Carolina LLCGroup PAC ID 3779932959, 109 clinicians
Radiology Associates of North Carolina PCGroup PAC ID 8628507811, 36 clinicians

Practice addresses (Care Compare)

Fayetteville, NC 28305
Phone (281) 870-4592

1800 Lakeshore Dr
Fayetteville, NC 28305-5241
Phone (309) 671-8282

5 Neponset St
Worcesteer, MA 01606-2714
Phone (508) 595-2300

506 Pinchot Dr
Asheville, NC 28803-1949
Phone (614) 340-7740

526 Pinchot Dr
Asheville, NC 28803-1950
Phone (469) 757-1042

Hospital & facility affiliations

  • Blessing Hospital Hospital, Quincy, IL, CCN 140015
  • Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023
  • SSM Health St Agnes Hospital-Fond Du Lac Hospital, Fond Du Lac, WI, CCN 520088
  • Wooster Community Hospital Hospital, Wooster, OH, CCN 360036
  • Ascension NE Wisconsin - St Elizabeth Campus Hospital, Appleton, WI, CCN 520009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
941WIMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Blessing Hospital CurrentSince Jan 10, 2023 Accepting new patients
Reliant Medical Group, Inc CurrentSince Sep 1, 2020 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Sep 8, 2025 Accepting new patients
Radiology Consultants PC Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Radiology Associates of Tallahassee PA Nuclear Radiology CurrentSince Mar 17, 2022 Accepting new patients
Florida Keys Radiology Associates LLP Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients
Quincy Clinical Laboratory Services SC Current Accepting new patients
Radiology Associates of North Carolina PC Diagnostic Radiology CurrentSince May 17, 2025 Accepting new patients
Physicians of Cape Cod Hospital Diagnostic Radiology CurrentSince Mar 1, 2021 Accepting new patients
Radiology Associates of the Fox Valley, SC Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Tulsa X-Ray Laboratory PLLC Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
Radiology Muskegon PC Diagnostic Radiology CurrentSince Dec 2, 2020 Accepting new patients
Blessing Hospital CurrentSince Jan 10, 2023 Accepting new patients
Radiology Associates of South Carolina LLC Diagnostic Radiology CurrentSince Sep 19, 2025 Accepting new patients
Crawford Hospital District CurrentSince Dec 26, 2023 Accepting new patients
West Central Pathology Specialists, S.C. Current Accepting new patients
Crawford Hospital District Current Accepting new patients
Prairie Du Chien Memorial Hospital Association Inc CurrentSince Nov 1, 2020 Accepting new patients
Crawford Hospital District CurrentSince Dec 26, 2023 Accepting new patients
Memphis Physicians Radiological Group PC Diagnostic Radiology CurrentSince Dec 1, 2020 Accepting new patients
Specialists in Medical Imaging, SC Diagnostic Radiology CurrentSince Jun 12, 2022 Accepting new patients
Baptist Physician Network CurrentSince Apr 1, 2020 Accepting new patients
Associated Radiologists, LTD. Diagnostic Radiology CurrentSince Mar 1, 2021 Accepting new patients
Trinity Health Past Accepting new patients
Crawford Hospital District Past Accepting new patients
Blessing Hospital Past Accepting new patients
Shriners Hospitals for Children Past Accepting new patients
MCV Associated Physicians Diagnostic Radiology PastSince Sep 28, 2021 Accepting new patients
Ara Health Specialists PA Nuclear Radiology Past Accepting new patients

Locations

4800 Maine St
Quincy, IL 62305
Phone (217) 214-0444

1005 Broadway St
Quincy, IL 62301

1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

35 Wilkens Ln
Hyannis, MA 02601
Phone (508) 862-5000

24 Newton St
Southborough, MA 01772
Phone (508) 460-3190

2527 Cranberry Hwy
Wareham, MA 02571
Phone (508) 295-5556

10 Little Brook Rd
West Wareham, MA 02576

5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300

100 Medical Dr
Hannibal, MO 63401

101 Medical Dr
Hannibal, MO 63401

103 E Commercial St
Kahoka, MO 63445
Phone (660) 727-3377

1921 Stonecipher Dr
Ada, OK 74820
Phone (580) 421-4570

1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

3080 College St
Beaumont, TX 77701
Phone (409) 212-5000

3555 Stagg Dr
Beaumont, TX 77701
Phone (409) 212-5922

37868 US Highway 18
Prairie du Chien, WI 53821
Phone (608) 357-2000

Interoperability endpoints

  • FHIR API: https://fhir.blessinghospital.com/R4/open-Prod

Organizations & group practices 30

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.

View all 30

Hospital & facility affiliations 8

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": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1053415364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17310 WRIGHT ST STE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302405",
            "telephone_number": "833-228-6889",
            "fax_number": "877-853-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17310 WRIGHT ST STE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302405",
            "telephone_number": "833-228-6889",
            "fax_number": "877-853-0376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Burdick Expy W",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587014406",
            "country_code": "US",
            "telephone_number": "701-857-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEY",
        "first_name": "GEOFFREY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "VA",
            "license": "0101237007",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ND",
            "license": "16842",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2006-00792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010112982 541581185",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.