Individual provider Active NPI

Timothy J Crowley, M.D.

  • Internal Medicine Physician
  • Omaha, NE
National Provider Identifier
1366465023
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17813 Issued in NE
Practice address
7100 W Center Rd
Omaha, NE 68106-2700
Phone
(402) 506-9101
Fax
(402) 858-7106
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17813 NE Primary

Addresses

Primary practice location

7100 W Center Rd
Omaha, NE 68106-2700

Mailing address

7100 W Center Rd
Omaha, NE 68106-2700
Phone (402) 506-9101

Other identifiers 2

IdentifierTypeStateIssuer
03630OtherNEBLUE CROSS BLUE SHIELD NE
110043809OtherNERAILROAD MEDICARE ID

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
I20100422000306 NE Practitioner - Internal Medicine 4587713417 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17813NEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Think Aksarben, LLC Internal Medicine CurrentSince Aug 16, 2013 Accepting new patients
Alegent Creighton Clinic Internal Medicine Past Accepting new patients

Locations

7100 W Center Rd
Omaha, NE 68106
Phone (402) 506-9000

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1366465023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 W CENTER RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681062700",
            "telephone_number": "402-506-9101",
            "fax_number": "402-858-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W CENTER RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681062700",
            "telephone_number": "402-506-9101",
            "fax_number": "402-858-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWLEY",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "17813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NE",
            "identifier": "03630",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID",
            "identifier": "110043809",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.