NPIMap

Individual provider Active NPI

Wasim W Chughtai, M.D.

  • Internal Medicine Physician
  • Lincoln, NE
National Provider Identifier
1154486306
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19785 Issued in NE
Practice address
6900 Van Dorn St
Suite 24
Lincoln, NE 68506-2882
Phone
(402) 489-3200
Fax
(402) 489-5101
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 4

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bryan Physician Network 236 clinicians

Practice addresses (Care Compare)

1620 S 70TH St
Suite 101
Lincoln, NE 68506-1563
Phone (402) 484-6080

2300 S 16TH St
Bryan Medical Center
Lincoln, NE 68502-3704
Phone (402) 481-1111

2701 S 70TH St
Holmes Lake Family Medicine
Lincoln, NE 68506-2918
Phone (402) 483-3400

5455 New Castle Rd
Lincoln, NE 68516-9279
Phone (402) 420-7195

555 S 70TH St
Lincoln, NE 68510-2462
Phone (402) 219-7123

Hospital & facility affiliations

  • Elite Professionals Home Care Company Home health agency, Lincoln, NE, CCN 287122
  • Eventide Home Health Care Home health agency, Lincoln, NE, CCN 287002
  • Hillcrest Home Care Home health agency, Bellevue, NE, CCN 287133
  • Interim Healthcare Home health agency, Lincoln, NE, CCN 287062
  • CHI Health at Home - Lincoln Home health agency, Lincoln, NE, CCN 287050
  • Bryan Medical Center Hospital, Lincoln, NE, CCN 280003
  • Lincoln Surgical Hospital Hospital, Lincoln, NE, CCN 280127
  • CHI Health St. Elizabeth Hospital, Lincoln, NE, CCN 280020
  • Madonna Rehabilitation Hospital Lincoln Inpatient rehabilitation facility, Lincoln, NE, CCN 283025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100520000453 NE Practitioner - Internal Medicine 7416086061 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19785NEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Star City Medical Clinic., PC CurrentSince Apr 24, 1998 Accepting new patients
Bryan Physician Network Internal Medicine CurrentSince May 18, 2015 Accepting new patients
Bryan Medical Center Past Accepting new patients

Locations

6900 Van Dorn St
Ste 24
Lincoln, NE 68506
Phone (402) 483-3400

2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042

1620 S 70th St
Ste 101
Lincoln, NE 68506
Phone (402) 480-5288

2222 S 16th St
Ste 400A
Lincoln, NE 68502
Phone (402) 475-8877

2701 S 70th St
Lincoln, NE 68506
Phone (402) 483-3400

Interoperability endpoints

  • Direct secure messaging: wchughtai13590@hisp.bryanhealth.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19785 NE Primary

Addresses

NPPES NPI Registry

Primary practice location

6900 Van Dorn St
Suite 24
Lincoln, NE 68506-2882

Mailing address

2222 S 16TH St
Suite 400a
Lincoln, NE 68502-3796
Phone (402) 483-8590

Other identifiers 7

NPPES NPI Registry
IdentifierTypeStateIssuer
0400302OtherNEUHC
10026311700MedicaidNE
1714OtherNEBCBS
470812081OtherNETAX ID
080124010OtherNERAILROAD MEDICARE
47081208100MedicaidNE
470812081OtherNECOMMERCIAL INS

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address wchughtai13590@hisp.bryanhealth.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2021.

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1154486306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 S 16TH ST",
            "address_2": "SUITE 400A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023796",
            "telephone_number": "402-483-8590",
            "fax_number": "402-483-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 VAN DORN ST",
            "address_2": "SUITE 24",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062882",
            "telephone_number": "402-489-3200",
            "fax_number": "402-489-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUGHTAI",
        "first_name": "WASIM",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "19785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "0400302",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026311700",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1714",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "470812081",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080124010",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47081208100",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INS",
            "identifier": "470812081",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wchughtai13590@hisp.bryanhealth.org",
            "affiliation": "N",
            "address_1": "6900 Van Dorn St",
            "address_2": "Suite 24",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685062882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.