Active NPI
Randall T Duckert, M.D.
- Radiation Oncology Physician
- Hastings, NE
National Provider Identifier
1376508960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 20144
- Practice address
- 815 N Kansas Ave
Ste 100
Hastings, NE 68901-4470 - Phone
- (402) 460-5899
- Fax
- (402) 460-5898
- NPI assigned
- Apr 18, 2006
- 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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 20144 | NE | Primary |
Addresses
Primary practice location
815 N Kansas Ave
Ste 100
Hastings, NE 68901-4470
Mailing address
715 N St Joseph Ave
Hastings, NE 68901-4451
Phone (402) 460-5836
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376508960 | Medicaid | IA | |
| 470376604-02 | Medicaid | NE | |
| P00060114 | Other | NE | RAILROAD MEDICARE |
| 100257759 | Medicaid | NE |
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 |
|---|---|---|---|
| 20144 | NE | MD | Radiation Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1376508960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 N ST JOSEPH AVE",
"city": "HASTINGS",
"state": "NE",
"postal_code": "689014451",
"telephone_number": "402-460-5836",
"fax_number": "402-460-5829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 N KANSAS AVE",
"address_2": "STE 100",
"city": "HASTINGS",
"state": "NE",
"postal_code": "689014470",
"telephone_number": "402-460-5899",
"fax_number": "402-460-5898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUCKERT",
"first_name": "RANDALL",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NE",
"license": "20144",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1376508960",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470376604-02",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00060114",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100257759",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hastings, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.