Active NPI
Alan R Berg, MD
- Hematology & Oncology Physician
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 16495
- Practice address
- 4101 Tiger Lily Rd Ste 100
Lincoln, NE 68516-5587 - Phone
- (402) 420-7000
- Fax
- (402) 420-6969
- NPI assigned
- Oct 26, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 04-24027 | KS | |
| Hematology & Oncology Physician | 207RH0003X | 16495 | NE | Primary |
Addresses
Primary practice location
4101 Tiger Lily Rd Ste 100
Lincoln, NE 68516-5587
Mailing address
4101 Tiger Lily Rd Ste 100
Lincoln, NE 68516-5587
Phone (402) 420-7000
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31261 | Other | NE | BCBS |
| 206674913 | Medicaid | MO | |
| 100135090D | Other | KS | KS MEDICAID IN KS |
| 100135090E | Other | KS | KS MEDICAID IN NE |
| 100135090D | Medicaid | KS | |
| 3600023 | Other | NE | UHC |
| 3938 | Other | NE | MIDLANDS CHOICE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@sncc.oncoemrdirect.com | Direct |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-24027 | KS | MD | Hematology & Oncology Physician |
| 16495 | NE | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cancer Partners of Nebraska PC | Hematology & Oncology | Current | Accepting new patients |
| Cancer Partners of Nebraska PC | Hematology & Oncology | Current | Accepting new patients |
| Nebraska Hematology-Oncology P.C. | Past | Accepting new patients |
Locations
708 N 18th St
Marysville, KS 66508
Phone (785) 562-2311
2307 Barada St
Falls City, NE 68355
Phone (402) 245-2428
201 S 68th Street Pl
Ste 200
Lincoln, NE 68510
Phone (402) 420-7000
3901 Pine Lake Rd
Ste 111
Lincoln, NE 68516
Phone (402) 420-6090
4101 Tiger Lily Rd
Ste 100
Lincoln, NE 68516
Phone (402) 420-7000
Interoperability endpoints
- admin@sncc.oncoemrdirect.com
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.
-
- Hematology & Oncology Physician
- Lincoln, NE
- NPI 1437111408
-
- Hematology & Oncology Physician
- Kearney, NE
- NPI 1649151531
-
- Community/Retail Pharmacy
- Lincoln, NE
- NPI 1609389444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710547200000",
"number": "1164412425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 TIGER LILY RD STE 100",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685165587",
"telephone_number": "402-420-7000",
"fax_number": "402-420-6969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 TIGER LILY RD STE 100",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685165587",
"telephone_number": "402-420-7000",
"fax_number": "402-420-6969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERG",
"first_name": "ALAN",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2024-03-16",
"certification_date": "2024-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "KS",
"license": "04-24027",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NE",
"license": "16495",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "31261",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "206674913",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KS MEDICAID IN KS",
"identifier": "100135090D",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KS MEDICAID IN NE",
"identifier": "100135090E",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100135090D",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "3600023",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "3938",
"state": "NE"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "admin@sncc.oncoemrdirect.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4101 Tiger Lily Rd Ste 100",
"city": "Lincoln",
"state": "NE",
"country_code": "US",
"postal_code": "685165587",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 16, 2024; 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.