Active NPI
John J. Tennity, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 237
- Practice address
- 1150 N 83Rd St
Lincoln, NE 68505-2094 - Phone
- (402) 483-4485
- Fax
- (402) 483-5372
- NPI assigned
- May 24, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 237 | NE | Primary |
Addresses
Primary practice location
1150 N 83Rd St
Lincoln, NE 68505-2094
Mailing address
1150 N 83Rd St
Lincoln, NE 68505-2094
Phone (402) 483-4485
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47083655807 | Medicaid | NE | |
| 48033679 | Other | NE | RAILROAD MEDICARE |
| 2572 | Other | NE | BLUE CROSS BLUE SHIELD ID |
| 27-00182 | Other | NE | UNITED HEALTHCARE ID |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 S 48TH St
Lincoln, NE 68506-1299
2300 S 16TH St
Bryan Medical Center
Lincoln, NE 68502-3704
Phone (402) 481-1111
5055 A St
Lincoln, NE 68510-4970
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 144 |
| Removal or shaving of skin growth | 37 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 237 | NE | MD | Ergonomics Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryan Physician Network | Current | Accepting new patients | |
| Bryan Physician Network | Foot & Ankle Surgery | Past | Accepting new patients |
| Northwoods Surgery Center LLC | Past | Accepting new patients |
Locations
5055 A St
Ste 400
Lincoln, NE 68510
Phone (402) 483-3890
2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042
Interoperability endpoints
- jtennity14936@hisp.bryanhealth.org
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.
-
- Family Medicine Physician
- Lincoln, NE
- NPI 1679528798
-
- Ambulatory Surgical Clinic/Center
- Lincoln, NE
- NPI 1972557635
-
- Durable Medical Equipment & Medical Supplies
- Lincoln, NE
- NPI 1083205512
Foot & Ankle Surgery
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1528006103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327881600000",
"number": "1194728915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 N 83RD ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685052094",
"telephone_number": "402-483-4485",
"fax_number": "402-483-5372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 N 83RD ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685052094",
"telephone_number": "402-483-4485",
"fax_number": "402-483-5372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENNITY",
"first_name": "JOHN",
"middle_name": "J.",
"name_prefix": "Mr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2012-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NE",
"license": "237",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47083655807",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "48033679",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD ID",
"identifier": "2572",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE ID",
"identifier": "27-00182",
"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 Jan 30, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.