Individual provider Active NPI

John Paul Bader

  • Ophthalmology Physician
  • Lincoln, NE
National Provider Identifier
1124588413
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35465 Issued in NE
Practice address
1101 S 70TH St Ste 200
Lincoln, NE 68510-4293
Phone
(402) 486-3132
Fax
(859) 323-1122
NPI assigned
Mar 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X 35465 NE Primary

Addresses

Primary practice location

1101 S 70TH St Ste 200
Lincoln, NE 68510-4293

Mailing address

1101 S 70TH St
Lincoln, NE 68510-4293
Phone (859) 323-5867

Other practice location 1

411 W 39th St
Kearney, NE 68845-2805
Phone (308) 865-2760

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
I20230628003757 NE Practitioner - Ophthalmology 6002232147 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Nebraska College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kearney Eye Institute PCGroup PAC ID 7315935186, 7 clinicians

Practice addresses (Care Compare)

1101 S 70TH St
Suite 200
Lincoln, NE 68510-4293
Phone (402) 486-3132

411 W 39TH St
Kearney, NE 68845-2805
Phone 30886527601004

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery220

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
John P Bader MD PC Ophthalmology CurrentSince Aug 1, 2023 Accepting new patients
Kearney Eye Institute, P.C. Ophthalmology CurrentSince Jun 21, 2025 Accepting new patients
Kearney Eye Institute, P.C. Ophthalmology CurrentSince Jun 21, 2025 Accepting new patients

Locations

411 W 39th St
Kearney, NE 68845
Phone (308) 865-2755

1101 S 70th St
Ste 200
Lincoln, NE 68510
Phone (402) 486-1556

Interoperability endpoints

  • Direct secure messaging: jbader26787@ukhcdirect.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1124588413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S 70TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104293",
            "telephone_number": "859-323-5867",
            "fax_number": "859-323-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S 70TH ST STE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104293",
            "telephone_number": "402-486-3132",
            "fax_number": "859-323-1122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 W 39th St",
            "address_purpose": "LOCATION",
            "city": "Kearney",
            "state": "NE",
            "postal_code": "688452805",
            "country_code": "US",
            "telephone_number": "308-865-2760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADER",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-22",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NE",
            "license": "35465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.