NPIMap

Individual provider Active NPI

David R Allen, DO

  • Internal Medicine Physician
  • Omaha, NE
National Provider Identifier
1295884021
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
359 Issued in NE
Practice address
17030 Lakeside Hills Plaza Ste 102
Omaha, NE 68130-2396
Phone
(402) 758-5800
Fax
(402) 758-5809
NPI assigned
Jan 10, 2007
Last updated
Nov 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 359 NE Primary

Addresses

Primary practice location

17030 Lakeside Hills Plaza Ste 102
Omaha, NE 68130-2396

Mailing address

17030 Lakeside Hills Plaza Ste 102
Omaha, NE 68130-2396
Phone (402) 758-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041027000720 NE Practitioner - Internal Medicine 3779545355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medicine Physicians P.C.Group PAC ID 4183727266, 11 clinicians

Practice addresses (Care Compare)

17030 Lakeside Hills PLZ
Suite 130
Omaha, NE 68130-2437
Phone (402) 758-5800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.19 of 100Reported as apm
Quality
88.38
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
359NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Physicians P.C. Internal Medicine CurrentSince Jul 1, 2008 Accepting new patients
Alegent Creighton Clinic Past Accepting new patients
Asheville Hospitalist Group Internal Medicine Past Accepting new patients

Locations

17030 Lakeside Hills Plz
Ste 102
Omaha, NE 68130
Phone (402) 435-1400

17030 Lakeside Hills Plz
Ste 130
Omaha, NE 68130
Phone (402) 758-5150

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4492e985-44bf-43dd-a2f3-262f81a54d5c/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1295884021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17030 LAKESIDE HILLS PLAZA STE 102",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302396",
            "telephone_number": "402-758-5800",
            "fax_number": "402-758-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17030 LAKESIDE HILLS PLAZA STE 102",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302396",
            "telephone_number": "402-758-5800",
            "fax_number": "402-758-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "DAVID",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.