Individual provider Active NPI

Ricky Gene Hartwig, MD

  • Anesthesiology Physician
  • Lincoln, NE
National Provider Identifier
1083720866
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
17220 Issued in NE
Practice address
1730 S 70TH St
Lincoln, NE 68506-1613
Phone
(402) 423-7774
Fax
(402) 423-7774
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 17220 NE Primary

Addresses

Primary practice location

1730 S 70TH St
Lincoln, NE 68506-1613

Mailing address

PO Box 67099
Lincoln, NE 68506-7099
Phone (402) 423-7774

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
I20040629000808 NE Practitioner - Anesthesiology 7214910959 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Nebraska College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lighthouse Anesthesia PCGroup PAC ID 4789096595, 4 clinicians

Practice addresses (Care Compare)

1730 S 70TH St
Lincoln, NE 68506-1613
Phone (402) 423-7774

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Anesthesia PC Anesthesiology CurrentSince Jan 1, 2021 Accepting new patients
Associated Anesthesiologists PC Anesthesiology PastSince Feb 25, 2024 Accepting new patients

Locations

625 S 70th St
Lincoln, NE 68510
Phone (402) 423-7774

1730 S 70th St
Lincoln, NE 68506
Phone (402) 423-7774

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1083720866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67099",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685067099",
            "telephone_number": "402-423-7774",
            "fax_number": "402-423-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 S 70TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061613",
            "telephone_number": "402-423-7774",
            "fax_number": "402-423-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTWIG",
        "first_name": "RICKY",
        "middle_name": "GENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NE",
            "license": "17220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.