Individual provider Active NPI

Jeremy C King, DO

  • Family Medicine Physician
  • Bellevue, NE
National Provider Identifier
1073599890
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
566 Issued in NE
Practice address
2510 Bellevue Medical Center Dr Ste 200
Bellevue, NE 68123-1520
Phone
(402) 595-2275
Fax
(402) 595-1970
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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 566 NE Primary

Addresses

Primary practice location

2510 Bellevue Medical Center Dr Ste 200
Bellevue, NE 68123-1520

Mailing address

988102 Nebraska Medical Ctr
Omaha, NE 68198-8102
Phone (402) 595-2275

Other identifiers 1

IdentifierTypeStateIssuer
566OtherNENE STATE LICENSE

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
I20080602000185 NE Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 3577451541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unmc PhysiciansGroup PAC ID 6002728391, 1,490 clinicians

Practice addresses (Care Compare)

2500 Bellevue Medical Ctr Dr
Bellevue, NE 68123-1591
Phone (402) 763-3035

2510 Bellevue Medical Ctr Dr
Bellevue, NE 68123-1520

Emile 42ND St
Omaha, NE 68198-0001
Phone (402) 559-4015

Hospital & facility affiliations

  • Bellevue Medical Center Hospital, Bellevue, NE, CCN 280132
  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy22
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
566NEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Unmc Physicians CurrentSince Jun 1, 2008 Accepting new patients
The Nebraska Medical Center Past Accepting new patients
Bellevue Medical Center LLC Past Accepting new patients

Locations

2510 Bellevue Medical Center Dr
Ste 200
Bellevue, NE 68123
Phone (402) 595-2275

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600

Interoperability endpoints

  • Direct secure messaging: jeremy.king.p1@direct.oneworldomaha.nextgenshare.com
  • Direct secure messaging: jking4862@direct.nebraskamed.com

Organizations & group practices 3

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.

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1073599890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988102 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681988102",
            "telephone_number": "402-595-2275",
            "fax_number": "402-595-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 BELLEVUE MEDICAL CENTER DR STE 200",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681231520",
            "telephone_number": "402-595-2275",
            "fax_number": "402-595-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JEREMY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NE STATE LICENSE",
            "identifier": "566",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

Verify at the official NPI Registry.