Jose Gary B Nadala, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

22502 Issued in NE

Practice address

2222 S 16TH St
Ste 410
Lincoln, NE 68502-3785

Phone

(402) 474-1511

Fax

(402) 474-1611

NPI assigned

Jan 31, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Psychiatry

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bryan Physician NetworkGroup PAC ID 7315915873, 236 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bryan Medical Center Hospital, Lincoln, NE, CCN 280003

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gnadala14750@hisp.bryanhealth.org
• Direct secure messaging: records@plazawestpsychiatrists.direct.kno2fy.com

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.

• Bryan Physician Network

  • Family Medicine Physician
  • Lincoln, NE
  • NPI 1679528798
  Medicare reassignment Care Compare group
• Jose Gary Nadala Corporation

  dba Jose Gary Nadala

  • Child & Adolescent Psychiatry Physician
  • Lincoln, NE
  • NPI 1548866064
  NPD
• Bryan Medical Center

  • Psychiatric Hospital Unit
  • Lincoln, NE
  • NPI 1134216773
  NPD (past)
• Bryan Medical Center

  • General Acute Care Hospital
  • Lincoln, NE
  • NPI 1528006103
  NPD (past)
• Bryan Medical Center

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lincoln, NE
  • NPI 1629157789
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bryan Medical Center

  • General Acute Care Hospital
  • Lincoln, NE
  • NPI 1528006103
  Care Compare affiliation
• Bryan Medical Center

  dba Bryan Medical Center Laboratory

  • Clinical Medical Laboratory
  • Lincoln, NE
  • NPI 1689203077

  Hospital

  Care Compare affiliation
• Bryan Medical Center

  • Diagnostic Radiology Physician
  • Lincoln, NE
  • NPI 1699384370

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1396882916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 S 16TH ST",
            "address_2": "STE 410",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023785",
            "telephone_number": "402-474-1511",
            "fax_number": "402-474-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S 16TH ST",
            "address_2": "STE 410",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023785",
            "telephone_number": "402-474-1511",
            "fax_number": "402-474-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADALA",
        "first_name": "JOSE GARY",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NE",
            "license": "22502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "records@plazawestpsychiatrists.direct.kno2fy.com",
            "affiliation": "N",
            "address_1": "2222 S 16TH ST",
            "address_2": "STE 410",
            "city": "LINCOLN",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685023785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christina L Myles
• Eunjeong NA, CCC-SLP
• Brenda Naber, RN
• Alayzha Nachtigall
• Mersaidies Nacke
• Shereen Naderi
• Jalal Nafach, M.D.
• Sarab Nafkhosh
• Ubayd Nafkhosh
• Mariah Nagel

• Child & Adolescent Psychiatry Physician in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Child & Adolescent Psychiatry Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.
• 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.

Verify at the official NPI Registry.