Individual provider Active NPI

Paul L Krabbenhoft, MD

  • Physical Medicine & Rehabilitation Physician
  • Lincoln, NE
National Provider Identifier
1306955661
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
20118 Issued in NE
Practice address
5401 South Street
Lincoln, NE 68506-2134
Phone
(402) 413-3531
Fax
(402) 413-3535
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 20118 NE Primary
Spinal Cord Injury Medicine Physician 2081P0004X 20118 NE

Addresses

Primary practice location

5401 South Street
Lincoln, NE 68506-2134

Mailing address

5401 South Street
Lincoln, NE 68506-2134
Phone (402) 413-3531

Other identifiers 10

IdentifierTypeStateIssuer
204651806OtherNEMISSOURI MEDICAID
271000OtherNECOVENTRY OF NEBRASKA
31191OtherNEBLUE CROSS BLUE SHIELD
100282290AOtherNEKANSAS MEDICAID
4859OtherNEMIDLANDS CHOICE
2300008OtherNEUNITED HEALTH CARE
2300008OtherNEAMERICHOICE
7780860OtherNESOUTH DAKOTA MEDICAID
250007074OtherNEMEDICARE RAILROAD
982124OtherNEIOWA MEDICAID

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100429000859 NE Practitioner - Physical Medicine and Rehabilitation 2769519388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Minnesota Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Madonna Rehabilitation HospitalGroup PAC ID 0446164081, 92 clinicians

Practice addresses (Care Compare)

5401 S St
Lincoln, NE 68506-2150
Phone (402) 489-7102

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20118NEMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Madonna Rehabilitation Hospital Current Accepting new patients
Madonna Rehabilitation Hospital Physical Medicine & Rehabilitation CurrentSince Jun 1, 1996 Accepting new patients
Eye Surgical Associates, LLC Past Accepting new patients
Madonna Rehabilitation Hospital Past Accepting new patients

Locations

5401 South St
Lincoln, NE 68506
Phone (402) 413-3000

5445 South St
Lincoln, NE 68506
Phone (402) 489-8838

Interoperability endpoints

  • Direct secure messaging: paul.krabbenhoft@mrh.allscriptsdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1306955661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 SOUTH STREET",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062134",
            "telephone_number": "402-413-3531",
            "fax_number": "402-413-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 SOUTH STREET",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062134",
            "telephone_number": "402-413-3531",
            "fax_number": "402-413-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRABBENHOFT",
        "first_name": "PAUL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NE",
            "license": "20118",
            "primary": true
        },
        {
            "code": "2081P0004X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": "NE",
            "license": "20118",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI MEDICAID",
            "identifier": "204651806",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY OF NEBRASKA",
            "identifier": "271000",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "31191",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS MEDICAID",
            "identifier": "100282290A",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "4859",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2300008",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "2300008",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH DAKOTA MEDICAID",
            "identifier": "7780860",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "250007074",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA MEDICAID",
            "identifier": "982124",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.