Active NPI
Richard Allen Crusinberry, MD
- Urology Physician
- Lincoln, NE
National Provider Identifier
1376566646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 19017
- Practice address
- 5500 Pine Lake Rd
Lincoln, NE 68516-3389 - Phone
- (402) 489-8888
- Fax
- (402) 421-1945
- NPI assigned
- Jul 26, 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 19017 | NE | Primary |
Addresses
Primary practice location
5500 Pine Lake Rd
Lincoln, NE 68516-3389
Mailing address
5500 Pine Lake Rd
Lincoln, NE 68516-3389
Phone (402) 489-8888
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1900050 | Other | UNITED HEALTH CARE | |
| 7714370 | Medicaid | SD | |
| 06066 | Other | BLUE CROSS BLUE SHIELD | |
| 340006941 | Other | RR MEDICARE | |
| 1256 | Other | MIDLANDS CHOICE |
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 |
|---|---|---|---|
| 19017 | NE | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257984000000",
"number": "1376566646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 PINE LAKE RD",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685163389",
"telephone_number": "402-489-8888",
"fax_number": "402-421-1945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 PINE LAKE RD",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685163389",
"telephone_number": "402-489-8888",
"fax_number": "402-421-1945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUSINBERRY",
"first_name": "RICHARD",
"middle_name": "ALLEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2009-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NE",
"license": "19017",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1900050",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7714370",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "06066",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "340006941",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "1256",
"state": null
}
],
"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 Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.