Active NPI
David C Imes, M.D.
- Family Medicine Physician
- Gering, NE
National Provider Identifier
1144237041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 12682
- Practice address
- 1275 Sage St
Gering, NE 69341-3227 - Phone
- (308) 436-2101
- Fax
- (308) 436-3681
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 12682 | NE | Primary |
Addresses
Primary practice location
1275 Sage St
Gering, NE 69341-3227
Mailing address
1275 Sage St
Gering, NE 69341-3227
Phone (308) 436-2101
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12682 | Other | STATE LICENSE | |
| 080074004 | Other | MEDICARE RAILROAD | |
| 283821A | Other | RURAL HEALTH |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161202000333 | NE | Order and Referring Only - Family Practice | 5799729414 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional West Physicians Clinic | Family Medicine | Past | Accepting new patients |
| Regional West Physicians Clinic | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Scottsbluff, NE
- NPI 1306910534
-
- Rural Health Clinic/Center
- Mitchell, NE
- NPI 1992703425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193356800000",
"number": "1144237041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 SAGE ST",
"city": "GERING",
"state": "NE",
"postal_code": "693413227",
"telephone_number": "308-436-2101",
"fax_number": "308-436-3681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 SAGE ST",
"city": "GERING",
"state": "NE",
"postal_code": "693413227",
"telephone_number": "308-436-2101",
"fax_number": "308-436-3681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMES",
"first_name": "DAVID",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2007-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "12682",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "12682",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "080074004",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RURAL HEALTH",
"identifier": "283821A",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gering, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.