Individual provider Active NPI

Rex F Largen, MD

  • Dermatology Physician
  • Lincoln, NE
National Provider Identifier
1326036112
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
17872 Issued in NE
Practice address
5533 S 27TH Street
Suite 103
Lincoln, NE 68512-1664
Phone
(402) 423-7000
Fax
(402) 423-9399
NPI assigned
Oct 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 17872 NE Primary

Addresses

Primary practice location

5533 S 27TH Street
Suite 103
Lincoln, NE 68512-1664

Mailing address

PO Box 239
Lutz, FL 33548-0239
Phone (402) 423-7000

Other identifiers 4

IdentifierTypeStateIssuer
0300105OtherNEUNITED HEALTHCARE
677OtherNEMIDLANDS CHOICE
91181700900MedicaidNE
32062OtherNEBC/BS

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
I20050211000344 NE Practitioner - Dermatology 1557313178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Nebraska College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nebraska Dermatology, LLCGroup PAC ID 0941379382, 2 clinicians

Practice addresses (Care Compare)

5533 S 27TH St
Lincoln, NE 68512-1664
Phone (402) 423-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.93 of 100Reported as group
Quality
98.06
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions2291
Removal or shaving of skin growth38
Skin biopsy1-10

National Provider Directory

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

Organizations & group practices 1

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 5

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": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1326036112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 239",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335480239",
            "telephone_number": "402-423-7000",
            "fax_number": "402-473-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5533 S 27TH STREET",
            "address_2": "SUITE 103",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685121664",
            "telephone_number": "402-423-7000",
            "fax_number": "402-423-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARGEN",
        "first_name": "REX",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NE",
            "license": "17872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0300105",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "677",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91181700900",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "32062",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.