Individual provider Active NPI

Keith William Vrbicky, M.D.

  • Obstetrics & Gynecology Physician
  • Norfolk, NE
National Provider Identifier
1477561660
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
15770 Issued in NE
Practice address
1410 North 13TH Street
Norfolk, NE 68701
Phone
(402) 379-2322
Fax
(402) 379-0888
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 15770 NE Primary

Addresses

Primary practice location

1410 North 13TH Street
Norfolk, NE 68701

Mailing address

1410 North 13TH Street
Norfolk, NE 68701
Phone (402) 379-2322

Other identifiers 1

IdentifierTypeStateIssuer
47073897413MedicaidNE

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
I20041019000575 NE Practitioner - Obstetrics/GynecologyPractitioner - Preventive Medicine 1658266226 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Preventive Medicine
Education
Creighton University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest OB/GYN Clinic, PCGroup PAC ID 9133014764, 14 clinicians

Practice addresses (Care Compare)

1410 N 13TH St
Midwest Health Partners PC
Norfolk, NE 68701-2669
Phone (402) 379-2322

Hospital & facility affiliations

  • Faith Health Hospital, Norfolk, NE, CCN 280125

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest OB/GYN Clinic, PC Obstetrics & Gynecology CurrentSince Apr 23, 1990 Accepting new patients
Aegis Health Services LLC CurrentSince Feb 13, 2021 Accepting new patients
Faith Regional Health Services Past Accepting new patients

Locations

3425 N 190th Plz
Elkhorn, NE 68022
Phone (402) 525-1251

1410 N 13th St
Norfolk, NE 68701
Phone (402) 371-0123

3901 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 379-5555

1414 N 13th St
Norfolk, NE 68701
Phone (402) 640-5139

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477561660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 NORTH 13TH STREET",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "68701",
            "telephone_number": "402-379-2322",
            "fax_number": "402-379-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 NORTH 13TH STREET",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "68701",
            "telephone_number": "402-379-2322",
            "fax_number": "402-379-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VRBICKY",
        "first_name": "KEITH",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NE",
            "license": "15770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47073897413",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.