Individual provider Active NPI

James Michael Mahalek, MD

  • Orthopaedic Surgery Physician
  • Kearney, NE
National Provider Identifier
1104873918
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
23281 Issued in NE
Practice address
2810 W 35TH St Ste 1
Kearney, NE 68845
Phone
(308) 865-2570
Fax
(308) 865-2508
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 23281 NE
Orthopaedic Surgery Physician 207X00000X 23281 NE Primary

Addresses

Primary practice location

2810 W 35TH St Ste 1
Kearney, NE 68845

Mailing address

2810 W 35TH St Ste 1
Kearney, NE 68845-2909
Phone (308) 865-2570

Other identifiers 1

IdentifierTypeStateIssuer
200334990AMedicaidKS

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jamesmahalek@nwsmos.allscriptsdirect.net Health Information Exchange (HIE)
Direct Messaging Address jamesmahalek@nwsmos.allscriptsdirect.net Direct

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
I20050804001170 NE Practitioner - Orthopedic Surgery 0941284012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Nebraska College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New West Sports Medicine and Orthopaedic Surgery PCGroup PAC ID 6800861014, 12 clinicians

Practice addresses (Care Compare)

2810 W 35TH St
Kearney, NE 68845-2909

Hospital & facility affiliations

  • Kearney Regional Medical Center Hospital, Kearney, NE, CCN 280134
  • CHI Health Good Samaritan Hospital, Kearney, NE, CCN 280009

Merit-based Incentive Payment System (MIPS)

Final score
78.32 of 100Reported as group
Quality
56.65
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion164
Laminectomy or laminotomy (partial removal of spine bones)59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23281NEMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New West Sports Medicine & Orthopaedic Surgery, P.C. Orthopaedic Surgery CurrentSince Aug 15, 2005 Accepting new patients
South Texas Spinal Clinic, P.a. Orthopaedic Surgery Past Accepting new patients
Good Samaritan Outreach Services Past Accepting new patients
South Texas Spinal Clinic, P.a. Orthopaedic Surgery Past Accepting new patients

Locations

2810 W 35th St
Ste 1
Kearney, NE 68845
Phone (308) 865-2570

2810 W 35th St
Kearney, NE 68845
Phone (308) 865-2570

Interoperability endpoints

  • Direct secure messaging: jamesmahalek@nwsmos.allscriptsdirect.net
  • FHIR API: https://api.platform.athenahealth.com/935/brand/1/csg/1/fhir/r4

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 3

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1104873918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 W 35TH ST STE 1",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452909",
            "telephone_number": "308-865-2570",
            "fax_number": "308-865-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 W 35TH ST STE 1",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "68845",
            "telephone_number": "308-865-2570",
            "fax_number": "308-865-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHALEK",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NE",
            "license": "23281",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NE",
            "license": "23281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200334990A",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jamesmahalek@nwsmos.allscriptsdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2810 W 35th St Ste 1",
            "city": "Kearney",
            "state": "NE",
            "country_code": "US",
            "postal_code": "688452909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jamesmahalek@nwsmos.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Allscripts Direct Message Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2810 W 35th St Ste 1",
            "city": "Kearney",
            "state": "NE",
            "country_code": "US",
            "postal_code": "68845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.