Individual provider Active NPI

Alan R Berg, MD

  • Hematology & Oncology Physician
  • Lincoln, NE
National Provider Identifier
1164412425
Registry record updated Mar 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
16495 Issued in NE
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

Updated by the provider on Mar 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
31261OtherNEBCBS
206674913MedicaidMO
100135090DOtherKSKS MEDICAID IN KS
100135090EOtherKSKS MEDICAID IN NE
100135090DMedicaidKS
3600023OtherNEUHC
3938OtherNEMIDLANDS CHOICE

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040421000326 NE Practitioner - Hematology/Oncology 1153235858 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-24027KSMDHematology & Oncology Physician
16495NEMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Partners of Nebraska PC Hematology & Oncology CurrentSince Feb 3, 2004 Accepting new patients
Cancer Partners of Nebraska PC Hematology & Oncology CurrentSince Feb 3, 2004 Accepting new patients
Nebraska Hematology-Oncology P.C. PastSince Jan 1, 1990 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.