Active NPI
David D Hult, M.D.
- Family Medicine Physician
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 16997
- Practice address
- 3910 Village Dr
Lincoln, NE 68516-4783 - Phone
- (402) 434-7383
- Fax
- (402) 434-7382
- NPI assigned
- Jan 30, 2006
- Last updated
- Oct 30, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 16997 | NE | Primary |
Addresses
Primary practice location
3910 Village Dr
Lincoln, NE 68516-4783
Mailing address
2000 Q Street
Suite 500
Lincoln, NE 68503-3610
Phone (402) 421-0904
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32390 | Other | NE | BC/BS |
| 47069425800 | Medicaid | NE | |
| 4210 | Other | NE | BLUE CROSS BLUE SHIELD |
| 080179259 | Other | RAILROAD MEDICARE | |
| 10026082500 | Medicaid | NE | |
| 4391 | Other | NE | MIDLANDS CHOICE |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Nebraska College of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16909 Lakeside Hills CT
Omaha, NE 68130-4661
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carol Shackleton, M.D., P.C. | Family Medicine | Current | Accepting new patients |
| Alegent Creighton Clinic | Family Medicine | Current | Accepting new patients |
| Family and Sport Medicine, PC | Current | Accepting new patients | |
| City of Farnam | Past | Accepting new patients | |
| Alegent Creighton Clinic | Family Medicine | Past | Accepting new patients |
Locations
2771 Solution Ctr
Chicago, IL 60677
902 20TH St
Gothenburg, NE 69138
Phone (308) 537-7131
918 20th St
Gothenburg, NE 69138
Phone (308) 537-4066
5000 N 26th St
Ste 200
Lincoln, NE 68521
Phone (402) 475-6656
16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920
Organizations & group practices 5
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.
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- Gothenburg, NE
- NPI 1194803619
-
- Sports Medicine (Family Medicine) Physician
- Gothenburg, NE
- NPI 1932201803
-
dba CHI Health Clinic
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414627200000",
"number": "1457322281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 Q STREET",
"address_2": "SUITE 500",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685033610",
"telephone_number": "402-421-0904",
"fax_number": "402-421-0946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3910 VILLAGE DR",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685164783",
"telephone_number": "402-434-7383",
"fax_number": "402-434-7382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULT",
"first_name": "DAVID",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2014-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "16997",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "32390",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47069425800",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4210",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080179259",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026082500",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "4391",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.