Individual provider Active NPI

Douglas J Winjum, MD

  • Diagnostic Radiology Physician
  • Lincoln, NE
National Provider Identifier
1063466217
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
20719 Issued in NE
Practice address
7121 Stephanie LN
Ste 100
Lincoln, NE 68516-5359
Phone
(402) 420-3500
NPI assigned
May 20, 2006
Last updated
Oct 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 20719 NE Primary

Addresses

Primary practice location

7121 Stephanie LN
Ste 100
Lincoln, NE 68516-5359

Mailing address

PO Box 7239
Loveland, CO 80537-0239
Phone (402) 489-9400

Other identifiers 5

IdentifierTypeStateIssuer
7783110MedicaidSD
0521021MedicaidIA
100313450AMedicaidKS
300086696OtherNERR MEDICARE
32295OtherNEBLUE CROSS BLUE SHIELD

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
I20070619000272 NE Practitioner - Diagnostic Radiology 9032214713 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Creighton University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lincoln Radiology Group P CGroup PAC ID 7113902586, 47 clinicians
Bryan Medical CenterGroup PAC ID 4284628652, 50 clinicians

Practice addresses (Care Compare)

1600 S 48TH St
Lincoln, NE 68506-1227
Phone (402) 489-9400

2221 S 17TH St
201 Bryan Medical Center Counseling Center
Lincoln, NE 68502-3700
Phone (402) 481-5991

2300 S 16TH St
Lincoln, NE 68502-3704
Phone (402) 475-1011

3901 Pine Lake Rd
Lincoln, NE 68516-5497

4101 Tiger Lily Rd
Suite 120
Lincoln, NE 68516-5587
Phone (402) 481-7937

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20719NEMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Radiology Group P C Diagnostic Radiology CurrentSince Mar 1, 1998 Accepting new patients
Bryan Medical Center CurrentSince Nov 2, 2020 Accepting new patients
Bryan Medical Center Diagnostic Radiology CurrentSince Nov 2, 2020 Accepting new patients
Strasburger Orthopaedics PC Past Accepting new patients
Lincoln Radiology LLC Diagnostic Radiology Past Accepting new patients

Locations

2910 Betten Dr
Crete, NE 68333
Phone (402) 826-1191

905 2nd St
Friend, NE 68359
Phone (402) 947-2541

1500 S 48th St
Lincoln, NE 68506
Phone (402) 483-1276

1500 S 48th St
Ste 601
Lincoln, NE 68506
Phone (402) 481-8614

1600 S 48th St
Lincoln, NE 68506
Phone (402) 481-9049

1600 S 48th St
Ste 600
Lincoln, NE 68506
Phone (402) 416-9327

201 S 68th Street Pl
Ste 200
Lincoln, NE 68510
Phone (402) 420-7000

2221 S 17th St
Ste 201
Lincoln, NE 68502
Phone (402) 481-5991

2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042

3901 Pine Lake Rd
Lincoln, NE 68516

3901 Pine Lake Rd
Ste 310
Lincoln, NE 68516
Phone (402) 420-3500

7121 Stephanie Ln
Ste 100
Lincoln, NE 68516
Phone (402) 420-3500

7501 S 27th St
Lincoln, NE 68512
Phone (402) 481-6300

510 Bradford St
Seward, NE 68434
Phone (402) 646-2007

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15854/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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 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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1063466217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7239",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805370239",
            "telephone_number": "402-489-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7121 STEPHANIE LN",
            "address_2": "STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165359",
            "telephone_number": "402-420-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINJUM",
        "first_name": "DOUGLAS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "20719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7783110",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0521021",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100313450A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "300086696",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "32295",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.