Individual provider Active NPI

Jason David Talmadge, M.D.

  • Otolaryngology Physician
  • Omaha, NE
National Provider Identifier
1417394602
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
29745 Issued in NE
Practice address
720 N 129TH St
Omaha, NE 68154-6109
Phone
(402) 397-0670
Fax
(402) 397-0713
NPI assigned
May 28, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 29745 NE Primary

Addresses

Primary practice location

720 N 129TH St
Omaha, NE 68154-6109

Mailing address

720 N 129TH St
Omaha, NE 68154-6109
Phone (402) 397-0670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240110000762 NE Practitioner - Otolaryngology 2365724101 Reassigns benefits to 5 organizations
I20251217003500 IA Practitioner - Otolaryngology 2365724101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Ohio State University College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT Specialists PCGroup PAC ID 3173517539, 11 clinicians

Practice addresses (Care Compare)

720 N 129TH St
Omaha, NE 68154-6109
Phone (402) 397-0670

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29745NEMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Hospital District Current Accepting new patients
Community Memorial Hospital District CurrentSince Jun 1, 2024 Accepting new patients
Community Memorial Hospital District Current Accepting new patients
Audubon County Memorial Hospital CurrentSince Aug 1, 2025 Accepting new patients
ENT Specialists PC Otolaryngology CurrentSince Nov 29, 2023 Accepting new patients
Audubon County Memorial Hospital CurrentSince Aug 1, 2025 Accepting new patients
Community Memorial Hospital District CurrentSince Jun 1, 2024 Accepting new patients
Community Memorial Hospital District Past Accepting new patients

Locations

515 Pacific Ave
Audubon, IA 50025
Phone (712) 563-2611

7121 Stephanie Ln
Ste 100
Lincoln, NE 68516
Phone (402) 420-3500

720 N 129th St
Omaha, NE 68154
Phone (402) 397-0670

2731 Healthcare Dr
Syracuse, NE 68446
Phone (402) 269-2011

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1417394602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N 129TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681546109",
            "telephone_number": "402-397-0670",
            "fax_number": "402-397-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N 129TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681546109",
            "telephone_number": "402-397-0670",
            "fax_number": "402-397-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALMADGE",
        "first_name": "JASON",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-28",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NE",
            "license": "29745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.