Active NPI
Timothy J Stivrins, MD
- Internal Medicine Physician
- Lincoln, NE
National Provider Identifier
1275550618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 15781
- Practice address
- 4501 S 70TH St
Suite 130
Lincoln, NE 68516-4282 - Phone
- (402) 484-4940
- Fax
- (402) 484-4941
- NPI assigned
- Jul 15, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 15781 | NE | Primary |
Addresses
Primary practice location
4501 S 70TH St
Suite 130
Lincoln, NE 68516-4282
Mailing address
2000 Q St
Ste 500
Lincoln, NE 68503-3610
Phone (402) 421-0896
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470780857 13 | Medicaid | NE | |
| 07129 | Other | NE | BCBS |
| 04-00154 | Other | NE | UHC |
| 1192 | Other | MIDLANDS CHOICE |
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 |
|---|---|---|---|
| 15781 | NE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lincoln Physician Network LLC | 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.
-
- Urgent Care Clinic/Center
- Lincoln, NE
- NPI 1902116833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506297600000",
"number": "1275550618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 Q ST",
"address_2": "STE 500",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685033610",
"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": "4501 S 70TH ST",
"address_2": "SUITE 130",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685164282",
"telephone_number": "402-484-4940",
"fax_number": "402-484-4941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIVRINS",
"first_name": "TIMOTHY",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-15",
"last_updated": "2017-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NE",
"license": "15781",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470780857 13",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "07129",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "04-00154",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "1192",
"state": null
}
],
"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 Sep 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.