Individual provider Active NPI

Tadd Alan Delozier, MD

  • Emergency Medicine Physician
  • Lincoln, NE
National Provider Identifier
1336150747
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
19539 Issued in NE
Practice address
1600 South 48TH St
ER Dept
Lincoln, NE 68506
Phone
(402) 489-0200
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 19539 NE Primary

Addresses

Primary practice location

1600 South 48TH St
ER Dept
Lincoln, NE 68506

Mailing address

PO Box 81406
Lincoln, NE 68501-1406
Phone (800) 678-7672

Other identifiers 1

IdentifierTypeStateIssuer
00653OtherNEBCBS

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
I20100222000047 NE Practitioner - Emergency Medicine 9436180536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.5 of 100Reported as group
Quality
90.88
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19539NEMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Emergency Medicine PC Emergency Medicine CurrentSince Apr 17, 1998 Accepting new patients
SSM Health Care St. Louis Past Accepting new patients

Locations

1600 S 48th St
Lincoln, NE 68506
Phone (402) 481-9049

2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1336150747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81406",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685011406",
            "telephone_number": "800-678-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SOUTH 48TH ST",
            "address_2": "ER DEPT",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68506",
            "telephone_number": "402-489-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOZIER",
        "first_name": "TADD",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NE",
            "license": "19539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00653",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.