Individual provider Active NPI

Kathryn M Hajj, MD

  • Internal Medicine Physician
  • Lincoln, NE
National Provider Identifier
1407881048
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20252 Issued in NE
Practice address
4535 Normal Blvd
Ste 112
Lincoln, NE 68506-5576
Phone
(402) 488-4861
Fax
(402) 488-4864
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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 20252 NE Primary

Addresses

Primary practice location

4535 Normal Blvd
Ste 112
Lincoln, NE 68506-5576

Mailing address

4535 Normal Blvd
Ste 112
Lincoln, NE 68506-5576
Phone (402) 488-4861

Other identifiers 2

IdentifierTypeStateIssuer
1407881048OtherNPI (INDIVIDUAL NUMBER)
1215258421OtherNPI (GROUP NUMBER)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
All Care Health Center CurrentSince Sep 12, 2016 Accepting new patients
All Care Health Center CurrentSince Jan 17, 2022 Accepting new patients

Locations

902 S 6th St
Rm A
Council Bluffs, IA 51501

902 S 6th St
Council Bluffs, IA 51501
Phone (712) 256-6583

Interoperability endpoints

  • FHIR API: https://webprd.ochin.org/prd-fhir/allcarehealthcenter/api/FHIR/R4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1407881048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 NORMAL BLVD",
            "address_2": "STE 112",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065576",
            "telephone_number": "402-488-4861",
            "fax_number": "402-488-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 NORMAL BLVD",
            "address_2": "STE 112",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065576",
            "telephone_number": "402-488-4861",
            "fax_number": "402-488-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJJ",
        "first_name": "KATHRYN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "20252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (INDIVIDUAL NUMBER)",
            "identifier": "1407881048",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (GROUP NUMBER)",
            "identifier": "1215258421",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.