Active NPI
Jay G Kenik, M.D.
- Rheumatology Physician
- Omaha, NE
National Provider Identifier
1063522266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 15466
- Practice address
- 601 N 30TH St Ste 5700
Omaha, NE 68131-2137 - Phone
- (402) 280-5600
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 15466 | NE | Primary |
Addresses
Primary practice location
601 N 30TH St Ste 5700
Omaha, NE 68131-2137
Mailing address
2500 California PLZ
Omaha, NE 68178-0001
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Creighton University School of Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7710 Mercy Rd
Suite 3000
Omaha, NE 68124-2350
Phone (402) 343-8650
Hospital & facility affiliations
- CHI Health Bergan Mercy
- CHI Health Mercy Council Bluffs
- Crawford County Memorial Hospital
- Montgomery County Memorial Hospital
- Myrtue Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23398 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creighton University | Past | Accepting new patients |
Interoperability endpoints
- jkenik45868@achce.catholichealth.net
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Omaha, NE
- NPI 1548287907
-
- Clinic Pharmacy
- Omaha, NE
- NPI 1477547347
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Omaha, NE
- NPI 1396969499
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1508941097
-
- General Acute Care Hospital
- Council Bluffs, IA
- NPI 1265517759
-
- Critical Access Hospital
- Denison, IA
- NPI 1578555116
-
- Critical Access Hospital
- Red Oak, IA
- NPI 1376539338
-
- Critical Access Hospital
- Harlan, IA
- NPI 1598871469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217203200000",
"number": "1063522266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 CALIFORNIA PLZ",
"city": "OMAHA",
"state": "NE",
"postal_code": "681780001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N 30TH ST STE 5700",
"city": "OMAHA",
"state": "NE",
"postal_code": "681312137",
"telephone_number": "402-280-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENIK",
"first_name": "JAY",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2008-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "NE",
"license": "15466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.