Individual provider Active NPI

Joseph Patrick Bast Jr., M.D.

  • Nephrology Physician
  • Omaha, NE
National Provider Identifier
1124287131
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25014 Issued in NE
Practice address
1111 N 102ND CT Ste 200
Omaha, NE 68114-2194
Phone
(402) 502-2747
Fax
(402) 502-2387
NPI assigned
Jun 4, 2008
Last updated
Apr 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036.116846 IL
Nephrology Physician 207RN0300X 38256 IA
Nephrology Physician 207RN0300X 25014 NE Primary

Addresses

Primary practice location

1111 N 102ND CT Ste 200
Omaha, NE 68114-2194

Mailing address

1111 N 102ND CT Ste 200
Omaha, NE 68114-2194
Phone (402) 502-2747

Other identifiers 7

IdentifierTypeStateIssuer
P00740934OtherNERR MEDICARE
47078164513MedicaidNE
P00727910OtherIARR MEDICARE
31-00480OtherNESHARE
31-00481OtherNESHARE
04031OtherNEBCBS NE
47078164500MedicaidNE

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
I20090611000697 NE Practitioner - NephrologyPractitioner - Internal Medicine 7214087246 Reassigns benefits to 2 organizations
I20090723000075 IA Practitioner - NephrologyPractitioner - Internal Medicine 7214087246 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Nebraska College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Clinic IncGroup PAC ID 4880506062, 557 clinicians
Omaha Nephrology PCGroup PAC ID 5799677019, 10 clinicians

Practice addresses (Care Compare)

1 Edmundson PL
Council Bluffs, IA 51503-4658
Phone (712) 396-4000

10060 Regency Cir
Omaha, NE 68114-3732
Phone (402) 354-1570

1111 N 102ND CT
200 MPC Omaha Nephrology
Omaha, NE 68114-2194
Phone (402) 354-9770

16120 W Dodge Rd
Omaha, NE 68118-2049
Phone (402) 354-0550

450 E 23Rd St
Fremont, NE 68025-2303
Phone (402) 721-1610

717 N 190TH PLZ
Suite 1100
Elkhorn, NE 68022-3917
Phone (402) 815-1700

7831 Chicago CT
Omaha, NE 68114-3654
Phone (402) 561-2740

800 Mercy Dr
Mercy Hospital
Council Bluffs, IA 51503-3128
Phone (712) 328-5000

8303 Dodge St
Omaha, NE 68114-4108
Phone (402) 354-8163

933 E Pierce St
Methodist Jennie Edmundson
Council Bluffs, IA 51503-4626
Phone (712) 396-7495

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.116846ILMDInternal Medicine Physician
38256IAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Omaha Nephrology PC Nephrology CurrentSince Jul 1, 2009 Accepting new patients
Physicians Clinic Inc Internal Medicine CurrentSince Sep 30, 2025 Accepting new patients

Locations

1 Edmundson Pl
Council Bluffs, IA 51503
Phone (712) 396-4000

1 Edmundson Pl
Ste 310
Council Bluffs, IA 51503
Phone (712) 328-1801

201 Ridge St
Ste 207
Council Bluffs, IA 51503
Phone (712) 388-0261

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

933 E Pierce St
Council Bluffs, IA 51503
Phone (712) 328-6000

505 Cornhusker Rd
Ste 107
Bellevue, NE 68005
Phone (402) 292-2813

10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405

1111 N 102nd Ct
Ste 200
Omaha, NE 68114
Phone (402) 991-6559

8901 W Dodge Rd
Ste 250
Omaha, NE 68114
Phone (402) 343-8780

Interoperability endpoints

  • Direct secure messaging: joseph.bast@omahaneph.directbygreenway.com

Organizations & group practices 2

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.

Hospital & facility affiliations 8

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": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1124287131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N 102ND CT STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142194",
            "telephone_number": "402-502-2747",
            "fax_number": "402-502-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N 102ND CT STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142194",
            "telephone_number": "402-502-2747",
            "fax_number": "402-502-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAST",
        "first_name": "JOSEPH",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-04",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.116846",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IA",
            "license": "38256",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NE",
            "license": "25014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00740934",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47078164513",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00727910",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHARE",
            "identifier": "31-00480",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHARE",
            "identifier": "31-00481",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NE",
            "identifier": "04031",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47078164500",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.