Individual provider Active NPI

Walter J Duffy, MD

  • Psychiatry Physician
  • Lincoln, NE
National Provider Identifier
1093853368
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
18400 Issued in NE
Practice address
8101 O St
Suite 300
Lincoln, NE 68510-2646
Phone
(402) 476-6060
Fax
(402) 476-6809
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 18400 NE Primary
Child & Adolescent Psychiatry Physician 2084P0804X 18400 NE

Addresses

Primary practice location

8101 O St
Suite 300
Lincoln, NE 68510-2646

Mailing address

8101 O St
Suite 300
Lincoln, NE 68510-2646
Phone (402) 476-6060

Other identifiers 1

IdentifierTypeStateIssuer
10025071300MedicaidNE

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
I20041015000286 NE Practitioner - Psychiatry 2961391628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Vanderbilt University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alivation Health LLCGroup PAC ID 0941199681, 14 clinicians

Practice addresses (Care Compare)

8550 Cuthills Cir
Suite 100
Lincoln, NE 68526-9523
Phone 4024766060211

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score
21.57 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18400NEMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alivation Health, LLC Psychiatry CurrentSince Apr 30, 2003 Accepting new patients
Fillmore County Hospital CurrentSince Jul 1, 2015 Accepting new patients
Human Service Agency Psychiatry Past Accepting new patients
Bryan Medical Center Past Accepting new patients

Locations

4508 38th St
Ste 165
Columbus, NE 68601
Phone (402) 562-4444

1900 F St
#193
Geneva, NE 68361
Phone (402) 459-3167

1900 F St
Geneva, NE 68361
Phone (402) 759-3167

2536 Carleton Ave
Grand Island, NE 68803

8550 Cuthills Cir
Ste 100
Lincoln, NE 68526

8101 O St
Ste 300
Lincoln, NE 68510
Phone (402) 261-3714

Interoperability endpoints

  • Direct secure messaging: walter.duffy@alivation.directbygreenway.com

Organizations & group practices 4

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 1

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221177600000",
    "number": "1093853368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 O ST",
            "address_2": "SUITE 300",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102646",
            "telephone_number": "402-476-6060",
            "fax_number": "402-476-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 O ST",
            "address_2": "SUITE 300",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102646",
            "telephone_number": "402-476-6060",
            "fax_number": "402-476-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "WALTER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "18400",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NE",
            "license": "18400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025071300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.