Active NPI
Hugh Ralph Holmquist, MD
- Family Medicine Physician
- Burwell, NE
National Provider Identifier
1386648012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 19518
- Practice address
- 410 South 8TH Ave
Burwell, NE 68823 - Phone
- (308) 346-5544
- Fax
- (308) 346-4744
- NPI assigned
- Jun 10, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 19518 | NE | Primary |
Addresses
Primary practice location
410 South 8TH Ave
Burwell, NE 68823
Mailing address
PO Box 906
Burwell, NE 68823-0906
Phone (308) 346-5544
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47083890800 | Medicaid | NE | |
| 35194 | Other | NE | BLUE CROSS BLUE SHIELD |
| 47083890826 | Medicaid | NE | |
| 47083890820 | Medicaid | NE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Nebraska College of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
410 S 8TH Ave
Burwell, NE 68823-5254
410 S 8TH Ave PO Box
Suite 906
Burwell, NE 68823-0906
Hospital & facility affiliations
- VCHS Home Health
- Aseracare Hospice
- Valley County Health System
- Community Memorial Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burwell Family Practice PC | Current | Accepting new patients | |
| Community Memorial Hospital, Inc. | Past | Accepting new patients |
Interoperability endpoints
- hughh@burwellfamilypractice.directbygreenway.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Burwell Family Practice PC | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Corporate Officer (100%) Corporate Director (100%) W-2 Managing Employee (100%) |
Feb 8, 2001 Feb 8, 2001 Feb 8, 2001 Feb 8, 2001 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Rural Health Clinic/Center
- Burwell, NE
- NPI 1932124732
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee
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.
-
- Rural Health Clinic/Center
- Burwell, NE
- NPI 1932124732
-
- Skilled Nursing Facility
- Burwell, NE
- NPI 1063403053
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Norfolk, NE
- NPI 1215976279
-
- Critical Access Hospital
- Ord, NE
- NPI 1609834985
-
- Home Health Agency
- Ord, NE
- NPI 1881647915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184716800000",
"number": "1386648012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 906",
"city": "BURWELL",
"state": "NE",
"postal_code": "688230906",
"telephone_number": "308-346-5544",
"fax_number": "308-346-4744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 SOUTH 8TH AVE",
"city": "BURWELL",
"state": "NE",
"postal_code": "68823",
"telephone_number": "308-346-5544",
"fax_number": "308-346-4744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMQUIST",
"first_name": "HUGH",
"middle_name": "RALPH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-10",
"last_updated": "2007-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "19518",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47083890800",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "35194",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47083890826",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47083890820",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burwell, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.