NPIMap

Individual provider Active NPI

Samuel J. Recob, M.D.

  • Family Medicine Physician
  • Laurel, NE
National Provider Identifier
1427218577
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25320 Issued in NE
Practice address
218 E 2ND St
Laurel, NE 68745-1989
Phone
(402) 256-3042
Fax
(402) 256-3043
NPI assigned
Jun 12, 2008
Last updated
Mar 10, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R-8352 IA
Family Medicine Physician 207Q00000X 25320 NE Primary

Addresses

Primary practice location

218 E 2ND St
Laurel, NE 68745-1989

Mailing address

218 E 2ND St
Laurel, NE 68745-1989
Phone (402) 256-3042

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
I20091111000155 NE Practitioner - Family Practice 7911050596 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Saint Louis University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Faith Regional Physician Services LLCGroup PAC ID 5193786168, 194 clinicians

Practice addresses (Care Compare)

218 E 2ND St
FRPS Laurel Family Medicine
Laurel, NE 68745-1715
Phone (402) 256-3042

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.77 of 100Reported as group
Quality
67.03
Promoting interoperability
96
Improvement activities
40
Cost
72.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions35
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R-8352IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Regional Physician Services, LLC Family Medicine CurrentSince May 1, 2014 Accepting new patients
Faith Regional Physician Services, LLC CurrentSince May 1, 2014 Accepting new patients
Providence Medical Center CurrentSince Oct 1, 2009 Accepting new patients
Providence Medical Center CurrentSince Oct 1, 2009 Accepting new patients
Mercy Medical Services Family Medicine Past Accepting new patients
Hillcrest Care Center Past Accepting new patients
Randolph Healthcare, Inc. PastSince Jul 14, 2025 Accepting new patients
Park View Haven Nursing Home Past Accepting new patients

Locations

47452 268 Ave
Ste C
Humphrey, NE 68642
Phone (402) 923-0150

2600 W Norfolk Ave
Ste 200
Norfolk, NE 68701
Phone (402) 844-8194

1200 Providence Rd
Wayne, NE 68787
Phone (402) 375-3800

615 E 14th St
Wayne, NE 68787
Phone (402) 375-2500

Interoperability endpoints

  • Direct secure messaging: samuel.recob@nehiidirectmail.org

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Park View Haven Nursing HomeColeridge, NE, CCN 285073 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 30, 2019
Jun 30, 2019
Colonial Manor of RandolphRandolph, NE, CCN 285183 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 Jul 26, 2018
Jul 26, 2018
Jul 14, 2025
St Josephs Rehabilitation and Care CenterNorfolk, NE, CCN 285160 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 1, 2024
Oct 1, 2024

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1427218577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 E 2ND ST",
            "city": "LAUREL",
            "state": "NE",
            "postal_code": "687451989",
            "telephone_number": "402-256-3042",
            "fax_number": "402-256-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 E 2ND ST",
            "city": "LAUREL",
            "state": "NE",
            "postal_code": "687451989",
            "telephone_number": "402-256-3042",
            "fax_number": "402-256-3043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECOB",
        "first_name": "SAMUEL",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R-8352",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "25320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, NE

Sources for this page

Verify at the official NPI Registry.