Lincoln Radiology Group PC
Organization Active NPI Diagnostic Radiology Physician · Lincoln, NE
NPI 1275587602 · NPPES record last updated Jan 12, 2026
Key facts
- NPI
- 1275587602
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- LINCOLN RADIOLOGY GROUP PC
- Practice address
- 3901 Pine Lake Rd
Lincoln, NE 68516-5497 - Phone
- (402) 481-6000
- Fax
- (402) 423-4100
- NPI assigned
- May 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Douglas J Winjum, MD
- Title
- President
- Phone
- (402) 489-9400
Practitioners 70
-
Douglas J Winjum, MD
-
Samuel Braden, MD
-
Kathryn Cambron, MD
-
Eugene P Chung, M.D.
-
Timothy A. Conner, M.D.
-
Bryce Hansen, M.D.
-
Taylor Harms, M.D.
-
David S Henley, MD
-
Jarret Kuo, MD
-
David Su-Sien Lin, M.D.
-
Janet C Matthes, MD
-
Juris L Purins, MD
-
Stanley R Smith, MD
-
Kathryn Totino, D.O.
-
Frank J Welte, MD
-
Sumeet Bahl, MD
-
Theodore D Baker, MD
-
Chad Herman Barker, M.D.
-
David J Bodne, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (20 enrollments) in NE, NV, LA, CO, TX, IA, AZ, WA, FL, CA, UT, MA, GA, PA, DC, NY, NH, TN, AL, NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040621000711 | NE | Part B Supplier - Clinic/Group Practice | 7113902586 |
Receives reassigned benefits from 47 practitioners Practice locations: Lincoln, NE |
| O20221101001237 | NV | Part B Supplier - Clinic/Group Practice | 7113902586 |
Receives reassigned benefits from 1 practitioner Practice locations: Reno, NV |
| O20231202000439 | LA | Part B Supplier - Clinic/Group Practice | 7113902586 |
Receives reassigned benefits from 1 practitioner Practice locations: Slidell, LA |
| O20240702001727 | CO | Part B Supplier - Clinic/Group Practice | 7113902586 |
Receives reassigned benefits from 1 practitioner Practice locations: Denver, CO |
| O20250220000205 | TX | Part B Supplier - Clinic/Group Practice | 7113902586 |
Receives reassigned benefits from 4 practitioners Practice locations: Sugar Land, TX; Spring, TX; Katy, TX; Houston, TX |
| O20260115002729 | IA | Part B Supplier - Clinic/Group Practice | 7113902586 |
Receives reassigned benefits from 1 practitioner Practice locations: Mason City, IA |
| O20260120000779 | AZ | Part B Supplier - Clinic/Group Practice | 7113902586 |
Receives reassigned benefits from 3 practitioners Practice locations: Avondale, AZ; Phoenix, AZ; Scottsdale, AZ |
| O20260120001581 | WA | Part B Supplier - Clinic/Group Practice | 7113902586 |
Receives reassigned benefits from 5 practitioners Practice locations: Anacortes, WA; Bellevue, WA; Kirkland, WA; Lake Tapps, WA; Leavenworth, WA |
| O20260120002118 | FL | Part B Supplier - Clinic/Group Practice | 7113902586 |
Receives reassigned benefits from 2 practitioners Practice locations: Enterprise, FL; Miami, FL |
| O20260120002501 | CA | Part B Supplier - Clinic/Group Practice | 7113902586 |
Receives reassigned benefits from 3 practitioners Practice locations: San Dimas, CA; San Francisco, CA; Seal Beach, CA |
| O20260120002865 | UT | Part B Supplier - Clinic/Group Practice | 7113902586 |
Receives reassigned benefits from 2 practitioners Practice locations: Salt Lake City, UT; Woodland Hills, UT |
| O20260122002837 | MA | Part B Supplier - Clinic/Group Practice | 7113902586 |
Receives reassigned benefits from 1 practitioner Practice locations: Amherst, MA |
| O20260123000000 | GA | Part B Supplier - Clinic/Group Practice | 7113902586 |
Receives reassigned benefits from 3 practitioners Practice locations: Brooks, GA; Savannah, GA; St Simons Island, GA |
| O20260126001462 | PA | Part B Supplier - Clinic/Group Practice | 7113902586 |
Receives reassigned benefits from 1 practitioner Practice locations: Wynnewood, PA |
| O20260126001764 | DC | Part B Supplier - Clinic/Group Practice | 7113902586 |
Receives reassigned benefits from 1 practitioner Practice locations: Gaithersburg, MD |
| O20260127002836 | NY | Part B Supplier - Clinic/Group Practice | 7113902586 |
Receives reassigned benefits from 1 practitioner Practice locations: Brooklyn, NY |
| O20260127003120 | NH | Part B Supplier - Clinic/Group Practice | 7113902586 |
Receives reassigned benefits from 2 practitioners Practice locations: Stratham, NH; Durham, NH |
| O20260128000997 | TN | Part B Supplier - Clinic/Group Practice | 7113902586 |
Receives reassigned benefits from 3 practitioners Practice locations: Knoxville, TN; Signal Mountain, TN; Soddy Daisy, TN |
| O20260205001292 | AL | Part B Supplier - Clinic/Group Practice | 7113902586 |
Receives reassigned benefits from 1 practitioner Practice locations: Mountain BRK, AL |
| O20260210000661 | NC | Part B Supplier - Clinic/Group Practice | 7113902586 |
Receives reassigned benefits from 1 practitioner Practice locations: Durham, NC |
National Provider Directory
Locations
1500 S 48th St
Ste 601
Lincoln, NE 68506
Phone (402) 481-8614
7441 O St
Ste 105
Lincoln, NE 68510
Phone (402) 481-8400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician |
207U00000X | |||
| Neuroradiology Physician |
2085N0700X | |||
| Diagnostic Radiology Physician |
2085R0202X | Yes | ||
| Vascular & Interventional Radiology Physician |
2085R0204X |
Addresses
Primary practice location
3901 Pine Lake Rd
Lincoln, NE 68516-5497
Mailing address
PO Box 7239
Loveland, CO 80537-0239
Phone (970) 663-2742
Other practice location 1
7441 O St Ste 105
Lincoln, NE 68510-2468
Phone (402) 481-8400
Other practice location 2
340 Galena Pines Rd
Reno, NV 89521-9722
Phone (402) 481-6000
Other practice location 3
905 2nd St
Friend, NE 68359-1133
Phone (402) 947-2541
Other practice location 4
1500 S 48th St
Lincoln, NE 68506-1276
Phone (402) 481-8686
Other practice location 5
2300 S 16th St
Lincoln, NE 68502-3704
Phone (402) 481-5187
Other practice location 6
1600 S 48th St
Lincoln, NE 68506-1283
Phone (402) 481-3198
Other practice location 7
201 S 68th Street Pl Ste 200
Lincoln, NE 68510-2496
Phone (402) 420-7000
Other practice location 8
801 W Prospector Pl
Lincoln, NE 68522-1970
Phone (402) 471-4444
Other practice location 9
2910 Betten Dr
Crete, NE 68333-3084
Phone (402) 826-2102
Other practice location 10
1600 S 48th St Ste 600
Lincoln, NE 68506-1275
Phone (402) 481-8430
Other practice location 11
6820 S 32nd St
Lincoln, NE 68516-6025
Phone (402) 323-8400
Other practice location 12
7501 S 27th St
Lincoln, NE 68512-4802
Phone (402) 481-6343
Other practice location 13
1500 S 48th St Ste 601
Lincoln, NE 68506-1280
Phone (402) 483-8600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02908 | Other | NE | BCBS |
| 100324840A | Medicaid | KS | |
| 0520932 | Medicaid | IA | |
| C50295 | Other | NE | RR MEDICARE |
| 504033309 | Medicaid | MO |
Other providers in Lincoln, NE
- Lincoln Public Schools
- Lincoln Public Schools
- Lincoln Public Schools
- Lincoln Public Schools
- Lincoln Pulmonary & Critical Care Associates PC
- Lincoln Radiology LLC
- Lincoln Surgery Center LLC
- Lincoln Surgery Center LLC
- Lincoln Surgery Endoscopy Services, LLC
- Lincoln Surgery Pain Management Services, LLC
All providers in Lincoln, NE · Diagnostic Radiology Physician in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.