Matthew James Wittry, DO

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

1846 Issued in NE

Practice address

7215 Ontario St
Omaha, NE 68124-3574

Phone

(531) 999-7120

NPI assigned

Apr 16, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bryan Physician Network 236 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mwittry86651@hisp.bryanhealth.org

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.

• Bryan Physician Network

  • Family Medicine Physician
  • Lincoln, NE
  • NPI 1679528798

  NE, Psychiatry

  Medicare reassignment Care Compare group NPD
• Bryan Physician Network

  • Durable Medical Equipment & Medical Supplies
  • Lincoln, NE
  • NPI 1083205512
  Care Compare group
• Northpoint Nebraska LLC

  • Substance Abuse Rehabilitation Facility
  • Omaha, NE
  • NPI 1023692159
  NPD
• Bryan Medical Center

  • General Acute Care Hospital
  • Lincoln, NE
  • NPI 1528006103
  NPD (past)
• Bryan Medical Center

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lincoln, NE
  • NPI 1629157789
  NPD (past)

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1306289665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 S TOPAZ WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836424474",
            "telephone_number": "208-605-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 ONTARIO ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243574",
            "telephone_number": "531-999-7120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2221 S 17th St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "68502",
            "country_code": "US",
            "telephone_number": "402-483-8590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8710 Frederick St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681243061",
            "country_code": "US",
            "telephone_number": "531-201-6890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9623 M St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681272007",
            "country_code": "US",
            "telephone_number": "531-999-6004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITTRY",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-16",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "1846",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NE",
            "license": "1846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly C Wittmeier
• Katy Wittmuss
• Katherine Marie Wittrock Koch, OTR/L
• Kaitlyn Wittrock, PHAMD
• Richard Shawn Wittrock
• Michael Witulski
• WJD Counseling LLC
• Liberty Wlaschin
• Rylehe Wobig
• Taylor Wochnick

• All providers in Omaha, NE
• Child & Adolescent Psychiatry Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.

Verify at the official NPI Registry.