Active NPI
Benjamin James McIntire, MD
- Emergency Medicine Physician
- Omaha, NE
National Provider Identifier
1316622632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 37505
- Practice address
- 16901 Lakeside Hills CT
Omaha, NE 68130-2318 - Phone
- (402) 717-8111
- NPI assigned
- Jun 15, 2023
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 37505 | NE | Primary |
Addresses
Primary practice location
16901 Lakeside Hills CT
Omaha, NE 68130-2318
Mailing address
16901 Lakeside Hills CT
Omaha, NE 68130-2318
Phone (402) 717-8111
Other practice location 1
981150 Nebraska Medical Ctr
Omaha, NE 68198-1150
Phone (402) 559-6637
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230829002012 | NE | Order and Referring Only - Emergency Medicine | 5496118119 |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Nebraska College of Medicine, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7261 Mercy Rd
Omaha, NE 68124-2311
985524 Nebraska Medical Ctr
Omaha, NE 68198-5524
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9634 | NE | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1316622632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16901 LAKESIDE HILLS CT",
"city": "OMAHA",
"state": "NE",
"postal_code": "681302318",
"telephone_number": "402-717-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16901 LAKESIDE HILLS CT",
"city": "OMAHA",
"state": "NE",
"postal_code": "681302318",
"telephone_number": "402-717-8111"
}
],
"practiceLocations": [
{
"address_1": "981150 Nebraska Medical Ctr",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681981150",
"country_code": "US",
"telephone_number": "402-559-6637",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCINTIRE",
"first_name": "BENJAMIN",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-15",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NE",
"license": "37505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.