Individual provider Active NPI

David D Hult, M.D.

  • Family Medicine Physician
  • Lincoln, NE
National Provider Identifier
1457322281
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16997 Issued in NE
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, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
32390OtherNEBC/BS
47069425800MedicaidNE
4210OtherNEBLUE CROSS BLUE SHIELD
080179259OtherRAILROAD MEDICARE
10026082500MedicaidNE
4391OtherNEMIDLANDS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040902001013 NE Practitioner - Family Practice 2163497470 Reassigns benefits to 1 organization

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
Alegent Creighton ClinicGroup PAC ID 1951210418, 951 clinicians

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

OrganizationSpecialtyStatusNew patients
Carol Shackleton, M.D., P.C. Family Medicine Current Accepting new patients
Alegent Creighton Clinic Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Family and Sport Medicine, PC Current Accepting new patients
City of Farnam PastSince Apr 30, 2003 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.

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

Verify at the official NPI Registry.