NPIMap

Individual provider Active NPI

Cole E Reha, M.D.

  • Family Medicine Physician
  • Pender, NE
National Provider Identifier
1396180956
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28056 Issued in NE
Practice address
958 Wellness Way Ste 1
Pender, NE 68047-4518
Phone
(402) 385-3033
NPI assigned
May 8, 2013
Last updated
May 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 28056 NE Primary

Addresses

Primary practice location

958 Wellness Way Ste 1
Pender, NE 68047-4518

Mailing address

PO Box 100
Pender, NE 68047-0100
Phone (402) 385-4004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150423000329 NE Practitioner - Family Practice 1456582360 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pender Community Hospital DistrictGroup PAC ID 3971412842, shared by 7 NPIs, 15 clinicians

Practice addresses (Care Compare)

100 Hospital Dr
Pender, NE 68047-4507
Phone (402) 385-3083

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pender Community Hospital District Current Accepting new patients
Pender Community Hospital District Family Medicine CurrentSince Jun 1, 2016 Accepting new patients
Pender Community Hospital District Family Medicine CurrentSince Jun 1, 2016 Accepting new patients
Pender Community Hospital District Family Medicine Past Accepting new patients

Locations

1003 S Main St
Ste 1
Emerson, NE 68733
Phone (402) 695-2453

100 Hospital Dr
Pender, NE 68047
Phone (402) 385-3083

100 Valley View Dr
Pender, NE 68047
Phone (402) 385-3033

958 Wellness Way
Ste 1
Pender, NE 68047
Phone (402) 385-3033

Organizations & group practices 4

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 7

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": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1396180956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "PENDER",
            "state": "NE",
            "postal_code": "680470100",
            "telephone_number": "402-385-4004",
            "fax_number": "402-385-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "958 WELLNESS WAY STE 1",
            "city": "PENDER",
            "state": "NE",
            "postal_code": "680474518",
            "telephone_number": "402-385-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHA",
        "first_name": "COLE",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-08",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "28056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pender, NE

Sources for this page

Verify at the official NPI Registry.