Individual provider Active NPI

Jeremy S. Albin, M.D.

  • Surgery Physician
  • Columbus, NE
National Provider Identifier
1336376284
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
27976 Issued in NE
Practice address
4508 38 Street
Suite 250
Columbus, NE 68601-1668
Phone
(402) 564-5333
Fax
(402) 564-3814
NPI assigned
Jun 18, 2009
Last updated
Feb 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X BP10034643 TX
Surgery Physician 208600000X 27976 NE Primary

Addresses

Primary practice location

4508 38 Street
Suite 250
Columbus, NE 68601-1668

Mailing address

4508 38 Street
Suite 250
Columbus, NE 68601-1668
Phone (402) 564-5333

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
I20140804002454 NE Practitioner - General Surgery 7618105594 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Nebraska College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Community Hospital IncGroup PAC ID 7517954944, shared by 6 NPIs, 86 clinicians

Practice addresses (Care Compare)

4508 38TH St
Suite 250
Columbus, NE 68601-1668
Phone (402) 564-5333

4600 38TH St
Columbus, NE 68601-1664
Phone (402) 564-7118

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
65.67 of 100Reported as group
Quality
95
Promoting interoperability
0
Improvement activities
40
Cost
73.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy74
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux59
Varicose vein removal1-10
Removal of tissue99
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10034643TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Community Hospital Inc CurrentSince Apr 17, 2015 Accepting new patients
Columbus Community Hospital Inc Surgery CurrentSince May 1, 2018 Accepting new patients
Columbus Community Hospital Inc CurrentSince Apr 17, 2015 Accepting new patients

Locations

4508 38th St
Ste 250
Columbus, NE 68601
Phone (402) 564-5333

4600 38th St
Columbus, NE 68601
Phone (402) 562-3333

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1336376284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4508 38 STREET",
            "address_2": "SUITE 250",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686011668",
            "telephone_number": "402-564-5333",
            "fax_number": "402-564-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4508 38 STREET",
            "address_2": "SUITE 250",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686011668",
            "telephone_number": "402-564-5333",
            "fax_number": "402-564-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBIN",
        "first_name": "JEREMY",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-18",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "BP10034643",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NE",
            "license": "27976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NE

Sources for this page

Verify at the official NPI Registry.