Active NPI
Christopher C Caudill, M.D.
- Cardiovascular Disease Physician
- Lincoln, NE
National Provider Identifier
1154371730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 12812
- Practice address
- 1021 N 27TH St
Lincoln, NE 68503-1803 - Phone
- (402) 476-1455
- Fax
- (402) 476-1655
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 12812 | NE | Primary |
Addresses
Primary practice location
1021 N 27TH St
Lincoln, NE 68503-1803
Mailing address
1021 N 27TH St
Lincoln, NE 68503-1803
Phone (402) 476-1455
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7702840 | Medicaid | SD | |
| 100115310C | Medicaid | KS | |
| 47084496100 | Medicaid | NE | |
| 1537084 | Medicaid | IA | |
| 201944410 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Cardiology Group LLC | Cardiovascular Disease | 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 and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Lincoln, NE
- NPI 1982653515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342569600000",
"number": "1154371730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 N 27TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685031803",
"telephone_number": "402-476-1455",
"fax_number": "402-476-1655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 N 27TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685031803",
"telephone_number": "402-476-1455",
"fax_number": "402-476-1655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAUDILL",
"first_name": "CHRISTOPHER",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2012-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NE",
"license": "12812",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7702840",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100115310C",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47084496100",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1537084",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201944410",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.