Active NPI
M. Suzan Crabb, M.D.
- Internal Medicine Physician
- Omaha, NE
National Provider Identifier
1386741981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20508
- Practice address
- 16120 W Dodge Rd
Omaha, NE 68118-2049 - Phone
- (402) 354-0550
- Fax
- (402) 354-0555
- NPI assigned
- Sep 19, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20508 | NE | Primary |
Addresses
Primary practice location
16120 W Dodge Rd
Omaha, NE 68118-2049
Mailing address
PO Box 3755
Omaha, NE 68103-0755
Phone (402) 354-2100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386741981 | Medicaid | IA | |
| 47068731727 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050314000457 | NE | Practitioner - Internal Medicine | 5890740864 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20508 | NE | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bessmer PC | Internal Medicine | Current | Accepting new patients |
| Nebraska Methodist Hospital | Current | Accepting new patients | |
| Bott PC | Past | Accepting new patients |
Locations
11810 Nicholas St
Ste 101
Omaha, NE 68154
Phone (402) 307-5510
11810 Nicholas St
Ste 100
Omaha, NE 68154
Phone (402) 779-8400
16120 W Dodge Rd
Omaha, NE 68118
Phone (402) 354-0550
4350 Dewey Ave
Omaha, NE 68105
Phone (402) 552-2552
Interoperability endpoints
- m.crabb@direct.nmhs.org
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
-
- Family Medicine Physician
- Omaha, NE
- NPI 1003284050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387497600000",
"number": "1386741981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3755",
"city": "OMAHA",
"state": "NE",
"postal_code": "681030755",
"telephone_number": "402-354-2100",
"fax_number": "402-354-2155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16120 W DODGE RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681182049",
"telephone_number": "402-354-0550",
"fax_number": "402-354-0555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRABB",
"first_name": "M. SUZAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-19",
"last_updated": "2013-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NE",
"license": "20508",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1386741981",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47068731727",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.