Individual provider Active NPI

Timothy K. Huyck, M.D.

  • Internal Medicine Physician
  • Papillion, NE
National Provider Identifier
1376760991
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23988 Issued in NE
Practice address
611 Fenwick Dr
Papillion, NE 68046-5706
Phone
(402) 593-3141
NPI assigned
Apr 18, 2007
Last updated
Aug 8, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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 23988 NE Primary

Addresses

Primary practice location

611 Fenwick Dr
Papillion, NE 68046-5706

Mailing address

611 Fenwick Dr
Papillion, NE 68046-5706
Phone (402) 593-3141

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
I20120521000098 NE Practitioner - Hematology/Oncology 0547356255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Creighton University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oncology Hematology West PCGroup PAC ID 8426030024, 56 clinicians

Practice addresses (Care Compare)

17201 Wright St
Suite 200
Omaha, NE 68130-2042
Phone (402) 334-4773

611 Fenwick Dr
Papillion, NE 68046-5706
Phone (402) 593-3141

7500 Mercy Rd
Omaha, NE 68124-2319
Phone (402) 393-3110

8303 Dodge St
Suite 250
Omaha, NE 68114-4108
Phone (402) 354-8124

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology West, PC CurrentSince Jul 1, 2012 Accepting new patients
Oncology Hematology West, PC CurrentSince Jul 1, 2012 Accepting new patients

Locations

450 E 23rd St
Fremont, NE 68025
Phone (402) 721-1610

17201 Wright St
Ste 200
Omaha, NE 68130
Phone (402) 334-4773

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

7500 Mercy Rd
#1300
Omaha, NE 68124
Phone (402) 393-3110

7500 Mercy Rd
Ste 1300
Omaha, NE 68124
Phone (402) 334-4773

8303 Dodge St
Ste 250
Omaha, NE 68114
Phone (402) 334-4773

611 Fenwick Dr
Papillion, NE 68046
Phone (402) 334-4773

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1376760991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 FENWICK DR",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680465706",
            "telephone_number": "402-593-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 FENWICK DR",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680465706",
            "telephone_number": "402-593-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYCK",
        "first_name": "TIMOTHY",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "23988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

Verify at the official NPI Registry.