Active NPI
Thomas O Martin, MD
- General Practice Physician
- Lincoln, NE
National Provider Identifier
1174625875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 14840
- Practice address
- 5000 N 26TH St
Ste 300
Lincoln, NE 68521-4749 - Phone
- (402) 435-2060
- Fax
- (402) 435-2046
- NPI assigned
- Sep 2, 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 14840 | NE | Primary |
Addresses
Primary practice location
5000 N 26TH St
Ste 300
Lincoln, NE 68521-4749
Mailing address
8055 O St
Ste 300
Lincoln, NE 68510-2580
Phone (402) 421-0896
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4024 | Other | NE | MIDLAND'S CHOICE |
| 35349 | Other | NE | BCBS |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lincoln Family Medical Group PC | Current | Accepting new patients | |
| The Physician Network | Past | Accepting new patients |
Locations
7441 O St
Ste 300
Lincoln, NE 68510
Phone (402) 483-6575
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Lincoln, NE
- NPI 1295879559
-
- Family Medicine Physician
- Lincoln, NE
- NPI 1437184652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204070400000",
"number": "1174625875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8055 O ST",
"address_2": "STE 300",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102580",
"telephone_number": "402-421-0896",
"fax_number": "402-421-0945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 N 26TH ST",
"address_2": "STE 300",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685214749",
"telephone_number": "402-435-2060",
"fax_number": "402-435-2046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "THOMAS",
"middle_name": "O",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-02",
"last_updated": "2008-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NE",
"license": "14840",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLAND'S CHOICE",
"identifier": "4024",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "35349",
"state": "NE"
}
],
"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 Feb 27, 2008; 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.