Active NPI
Richard Klug, M.D.
- Family Medicine Physician
- MC Cook, NE
National Provider Identifier
1194797639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 16431
- Practice address
- 1401 E H St
MC Cook, NE 69001-3432 - Phone
- (308) 344-4110
- Fax
- (308) 344-8369
- NPI assigned
- Feb 7, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 16431 | NE | Primary |
Addresses
Primary practice location
1401 E H St
MC Cook, NE 69001-3432
Mailing address
1401 E H St
MC Cook, NE 69001-3432
Phone (308) 344-4110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470748011-12 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16431 | NE | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peoples Family Health SVC Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
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- NPI 1356656623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422403200000",
"number": "1194797639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 E H ST",
"city": "MC COOK",
"state": "NE",
"postal_code": "690013432",
"telephone_number": "308-344-4110",
"fax_number": "308-344-8369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 E H ST",
"city": "MC COOK",
"state": "NE",
"postal_code": "690013432",
"telephone_number": "308-344-4110",
"fax_number": "308-344-8369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLUG",
"first_name": "RICHARD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2015-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "16431",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470748011-12",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in MC Cook, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.