Individual provider Active NPI

Rick J Windle, M.D.

  • Specialist
  • Lincoln, NE
National Provider Identifier
1154303071
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
15659 Issued in NE
Practice address
2221 S 17TH St
Suite 303
Lincoln, NE 68502-3713
Phone
(402) 476-6626
Fax
(402) 476-1614
NPI assigned
Nov 16, 2005
Last updated
May 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 15659 NE Primary

Addresses

Primary practice location

2221 S 17TH St
Suite 303
Lincoln, NE 68502-3713

Mailing address

3152 S 25TH St
Lincoln, NE 68502-4920
Phone (402) 430-6425

Other identifiers 1

IdentifierTypeStateIssuer
47072366813MedicaidNE

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
I20100922000077 NE Practitioner - General Surgery 2567358963

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15659NEMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Medical Center Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1154303071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3152 S 25TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685024920",
            "telephone_number": "402-430-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 S 17TH ST",
            "address_2": "SUITE 303",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023713",
            "telephone_number": "402-476-6626",
            "fax_number": "402-476-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDLE",
        "first_name": "RICK",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NE",
            "license": "15659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47072366813",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.