Individual provider Active NPI

Michael L. Coy, MD

  • Psychiatry Physician
  • Omaha, NE
National Provider Identifier
1124152780
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
17824 Issued in NE
Practice address
16909 Lakeside Hills CT Ste 400
Omaha, NE 68130-4661
Phone
(402) 758-5850
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 17824 NE Primary

Addresses

Primary practice location

16909 Lakeside Hills CT Ste 400
Omaha, NE 68130-4661

Mailing address

PO Box 641130
Omaha, NE 68164-7130
Phone (402) 717-4390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050519000742 NE Practitioner - Psychiatry 4082655055 Reassigns benefits to 1 organization
I20080508000770 IA Practitioner - Psychiatry 4082655055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Creighton University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heartland Family Service 14 clinicians

Practice addresses (Care Compare)

1515 Ave J
Council Bluffs, IA 51501-1170
Phone (712) 435-5350

2101 S 42ND St
Omaha, NE 68105-2909
Phone (402) 553-3000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17824NEMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Family Service CurrentSince Sep 24, 2012 Accepting new patients
Heartland Family Service CurrentSince Sep 24, 2012 Accepting new patients
Heartland Family Service CurrentSince Sep 24, 2012 Accepting new patients
Heartland Family Service Current Accepting new patients
Alegent Health Bergan Mercy Health System Psychiatry Past Accepting new patients
Alegent Health Bergan Mercy Health System Past Accepting new patients
Lutheran Family Services of NE, Inc PastSince Nov 1, 2009 Accepting new patients

Locations

1515 Avenue J
Council Bluffs, IA 51501
Phone (712) 435-5350

2101 S 42nd St
Omaha, NE 68105

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124152780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641130",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681647130",
            "telephone_number": "402-717-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16909 LAKESIDE HILLS CT STE 400",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304661",
            "telephone_number": "402-758-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COY",
        "first_name": "MICHAEL",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "17824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.