Active NPI
Tiffany L Svoboda, D.O.
- Family Medicine Physician
- Callaway, NE
National Provider Identifier
1457732224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1661
- Practice address
- 213 E Kimball St
Callaway, NE 68825-2596 - Phone
- (308) 836-2294
- Fax
- (402) 836-2733
- NPI assigned
- Jun 17, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 1661 | NE | Primary |
Addresses
Primary practice location
213 E Kimball St
Callaway, NE 68825-2596
Mailing address
PO Box 100
Callaway, NE 68825-0100
Phone (308) 836-2294
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170630001467 | NE | Practitioner - Family Practice | 3870800253 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Callaway Hospital District
Practice addresses (Care Compare)
211 E Kimball St
Callaway, NE 68825-2597
Phone (308) 836-2228
Hospital & facility affiliations
- Central Plains Home Health
- Aseracare Hospice
- Callaway District Hospital
- Jennie M Melham Memorial Medical Center
- Kearney Regional Medical Center
- Callaway Good Life Center, Inc
- Brookestone View
- Callaway District Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1661 | NE | MD | Professional Counselor |
| 7477 | NE | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Callaway Hospital District | Current | Accepting new patients | |
| Callaway Hospital District | Family Medicine | Current | Accepting new patients |
Locations
211 E Kimball St
Callaway, NE 68825
Phone (308) 836-2228
213 E Kimball St
Callaway, NE 68825
Phone (308) 836-2294
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Callaway, NE
- NPI 1508979899
Family Medicine, NE
-
- Rural Health Clinic/Center
- Arnold, NE
- NPI 1073626370
-
- Medicare Defined Swing Bed Hospital Unit
- Callaway, NE
- NPI 1871600981
-
- Rural Health Clinic/Center
- Callaway, NE
- NPI 1962519074
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Medicare Defined Swing Bed Hospital Unit
- Callaway, NE
- NPI 1871600981
Nursing home
-
- Home Health Agency
- Cozad, NE
- NPI 1568404564
-
- Community Based Hospice Care Agency
- Kearney, NE
- NPI 1003059361
Hospice
-
- Critical Access Hospital
- Broken Bow, NE
- NPI 1538232244
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566432000000",
"number": "1457732224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100",
"city": "CALLAWAY",
"state": "NE",
"postal_code": "688250100",
"telephone_number": "308-836-2294",
"fax_number": "308-836-2733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 E KIMBALL ST",
"city": "CALLAWAY",
"state": "NE",
"postal_code": "688252596",
"telephone_number": "308-836-2294",
"fax_number": "402-836-2733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SVOBODA",
"first_name": "TIFFANY",
"middle_name": "L",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-17",
"last_updated": "2019-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "1661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Callaway, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.