Active NPI
Robert E Maben, MD
- Surgery Physician
- Lincoln, NE
National Provider Identifier
1336142264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 21228
- Practice address
- 575 S 70TH St
Ste 310
Lincoln, NE 68510-2471 - Phone
- (402) 441-4760
- Fax
- (402) 441-4764
- NPI assigned
- May 24, 2005
- Last updated
- Jul 13, 2026
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 21228 | NE | Primary |
Addresses
Primary practice location
575 S 70TH St
Ste 310
Lincoln, NE 68510-2471
Mailing address
575 S 70TH St
Ste 310
Lincoln, NE 68510-2471
Phone (402) 441-4760
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 68510A005 | Other | NE | TRIWEST PROVIDER ID |
| 1700238 | Other | NE | UHC PROVIDER ID |
| 47056191312 | Medicaid | NE | |
| 01323 | Other | NE | BCBS PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21228 | NE | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Associates, P.C. | Surgery | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Lincoln, NE
- NPI 1801831268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1336142264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 S 70TH ST",
"address_2": "STE 310",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102471",
"telephone_number": "402-441-4760",
"fax_number": "402-441-4764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 S 70TH ST",
"address_2": "STE 310",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102471",
"telephone_number": "402-441-4760",
"fax_number": "402-441-4764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MABEN",
"first_name": "ROBERT",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NE",
"license": "21228",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIWEST PROVIDER ID",
"identifier": "68510A005",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC PROVIDER ID",
"identifier": "1700238",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47056191312",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "01323",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.