Kristofer A Vander Zwaag, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

22815 Issued in NE

Practice address

715 N Saint Joseph Ave
Hastings, NE 68901-4451

Phone

(402) 463-0404

Fax

(402) 461-5088

NPI assigned

May 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

Specialty

Diagnostic Radiology

Education

University of Iowa, RJ & L Carver College of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiologic Center IncGroup PAC ID 1759330731, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040
• Nebraska Orthopaedic Hospital Hospital, Omaha, NE, CCN 280129
• The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013
• CHI Health Lakeside Hospital, Omaha, NE, CCN 280130
• Methodist Jennie Edmundson Hospital, Council Bluffs, IA, CCN 160047

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Radiologic Center Inc

  • Diagnostic Radiology Physician
  • Omaha, NE
  • NPI 1700802154
  Medicare reassignment Care Compare group NPD
• Hastings Imaging Center LLC

  • Radiology Clinic/Center
  • Hastings, NE
  • NPI 1235314139

  Diagnostic Radiology

  NPD (past)
• Hastings Radiology Associates PC

  • Diagnostic Radiology Physician
  • Hastings, NE
  • NPI 1710079462
  NPD (past)
• The Mary Lanning Memorial Hospital Association

  • Diagnostic Radiology Physician
  • Hastings, NE
  • NPI 1336256064
  NPD (past)
• The Mary Lanning Memorial Hospital Association

  • Anatomic Pathology & Clinical Pathology Physician
  • Hastings, NE
  • NPI 1760530216
  NPD (past)

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

• Alegent Creighton Health

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1649355132
  Care Compare affiliation
• Nebraska Methodist Hospital

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1427147883
  Care Compare affiliation
• Nebraska Orthopaedic Hospital LLC

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1356345318
  Care Compare affiliation
• The Nebraska Medical Center

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1356307581
  Care Compare affiliation
• Jennie Edmundson Memorial Hospital

  • General Acute Care Hospital
  • Council Bluffs, IA
  • NPI 1457448755
  Care Compare affiliation

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1467406322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N SAINT JOSEPH AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689014451",
            "telephone_number": "402-461-5191",
            "fax_number": "402-461-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N SAINT JOSEPH AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689014451",
            "telephone_number": "402-463-0404",
            "fax_number": "402-461-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER ZWAAG",
        "first_name": "KRISTOFER",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "22815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00059",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "106553",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00410877",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "251187",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/TRIWEST",
            "identifier": "68901B014",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chad Eugene Uden, D.D.S.
• Joslyn Uden
• Ailyn Valdes
• Keith Dennis Van Drew
• Sarah Vandemark, PLADC
• Holly Vanderpool
• Elia Varela Garcia
• Abigail Vargas
• Barbara Varona
• Miguel Angel Vazquez Alarcon

• Diagnostic Radiology Physician in Hastings, NE
• Providers in Hastings, NE by specialty
• Diagnostic Radiology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.