Individual provider Active NPI

Thomas A Graul, M.D.

  • Ophthalmology Physician
  • Lincoln, NE
National Provider Identifier
1417954181
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
21380 Issued in NE
Practice address
1710 S 70TH St
Lincoln, NE 68506-1676
Phone
(402) 484-9000
Fax
(402) 483-4223
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0433241 KS
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 0433241 KS
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 21380 NE
Ophthalmology Physician 207W00000X 21380 NE Primary

Addresses

Primary practice location

1710 S 70TH St
Lincoln, NE 68506-1676

Mailing address

PO Box 6068
Lincoln, NE 68506-0068
Phone (402) 484-9000

Other identifiers 6

IdentifierTypeStateIssuer
10025619700MedicaidNE
200573060AMedicaidKS
21380OtherNEMEDICAL LICENSE
04-33241OtherKSMEDICAL LICENSE
180039225OtherNERAILROAD MEDICARE
P01028175OtherKSRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tgraul@esane.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, KS2 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
I20080929000294 NE Practitioner - Ophthalmology 5597832840 Reassigns benefits to 2 organizations
I20080929000326 KS Practitioner - Ophthalmology 5597832840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Nebraska College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Surgical Associates LLCGroup PAC ID 4082695721, 11 clinicians
Unmc PhysiciansGroup PAC ID 6002728391, 1,490 clinicians

Practice addresses (Care Compare)

120 Park Ave
Hebron, NE 68370-2019
Phone (402) 484-9000

1600 N 48TH St
Lincoln, NE 68506-1283
Phone (402) 484-9000

1610 S 70TH St
Lincoln, NE 68506-1565

1710 S 70TH St
Lincoln, NE 68506-1676
Phone (440) 248-4900

2204 M St
Belleville, KS 66935-2244
Phone (402) 484-9000

2300 S 16TH St
Lincoln, NE 68502-3704
Phone (402) 484-9000

2420 G St
Belleville, KS 66935-2400
Phone (402) 484-9000

3902 Leavenworth St
Omaha, NE 68105-1119
Phone (402) 559-2020

436 Lincoln Ave
Hebron, NE 68370-1526
Phone (402) 484-9000

708 N 18TH St
Marysville, KS 66508-1338
Phone (402) 484-9000

Hospital & facility affiliations

  • Lincoln Surgical Hospital Hospital, Lincoln, NE, CCN 280127
  • Republic County Hospital Hospital, Belleville, KS, CCN 171361
  • Thayer County Health Services Hospital, Hebron, NE, CCN 281304
  • Bryan Medical Center Hospital, Lincoln, NE, CCN 280003

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery311

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0433241KSMDGlaucoma Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unmc Physicians CurrentSince Jul 1, 2021 Accepting new patients
Sutton Skin and Eye Clinic PC PastSince Jul 24, 2022 Accepting new patients

Locations

3902 Leavenworth St
Omaha, NE 68105
Phone (402) 559-2020

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600

Interoperability endpoints

  • Direct secure messaging: tgraul@esane.intellechartdirect.net

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.

Hospital & facility affiliations 6

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1417954181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6068",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685060068",
            "telephone_number": "402-484-9000",
            "fax_number": "402-483-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 S 70TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061676",
            "telephone_number": "402-484-9000",
            "fax_number": "402-483-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAUL",
        "first_name": "THOMAS",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "0433241",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "KS",
            "license": "0433241",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "NE",
            "license": "21380",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NE",
            "license": "21380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025619700",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200573060A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "21380",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "04-33241",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180039225",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01028175",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tgraul@esane.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "1710 S 70th St",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685061676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.